Immunization

2015-08-21 09:15:27

1. 1. Administration Group
1. 1.1. TC-1
1. 1.1.1. Send administration message
2. 1.1.2. Consume acknowledgement message
2. 1.2. TC-2
1. 1.2.1. Send administration message
2. 1.2.2. Consume acknowledgement message
3. 1.3. TC-3
1. 1.3.1. Send administration message
2. 1.3.2. Consume acknowledgement message
4. 1.4. TC-4
1. 1.4.1. Send administration message
2. 1.4.2. Consume acknowledgement message
5. 1.5. TC-5
1. 1.5.1. Send administration message
2. 1.5.2. Consume acknowledgement message
6. 1.6. TC-6
1. 1.6.1. Send administration message
2. 1.6.2. Consume acknowledgement message
7. 1.7. TC-7
1. 1.7.1. Send administration message
2. 1.7.2. Consume acknowledgement message
8. 1.8. TC-8
1. 1.8.1. Send administration message
2. 1.8.2. Consume acknowledgement message
9. 1.9. TC-9
1. 1.9.1. Send administration message
2. 1.9.2. Consume acknowledgement message
10. 1.10. TC-10
1. 1.10.1. Send administration message
2. 1.10.2. Consume acknowledgement message
11. 1.11. TC-11
1. 1.11.1. Send administration message
2. 1.11.2. Consume acknowledgement message
2. 2. Evaluated History and Forecast Group
1. 2.1. Q R TC-1
1. 2.1.1. send query
2. 2.1.2. Send response
2. 2.2. Q R TC-2
1. 2.2.1. Send query
2. 2.2.2. return response
3. 2.3. Q R TC-3
1. 2.3.1. Send Query expecting no match
2. 2.3.2. Response where no matches were found
4. 2.4. Q R TC-4
1. 2.4.1. Query that finds too many matches
2. 2.4.2. Response with too many matches

1. Administration Group

No Description

1.1. TC-1

Maximally populated child administration

Test Story

Description

A child is seen at a clinic. Historical vaccinations are recorded and new vaccines are administered and documented.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

This test case assesses the ability of the EHR to create an administration message containing historical and new administrations for a child including next of kin, patient consent, VIS, funding source and VFC data.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

1.1.1. Send administration message

Tests the ability to create a valid VXU^V04 message

Test Story

Description

A two month old male infant, Russell Clinton Richardson, is brought to the West Clinic for a well child visit by his mother Maria Elizabeth Richardson (nee Billington) and his father John William Richardson. A clinic staff member collects basic patient demographic information including name, date of birth and sex. A clinic provider, Wilma Thomas (physician ID 654) reviews the patient?s vaccination history and determines that the child previously received Hepatitis B vaccine 1 day after birth and 1 month after birth. The staff member determines that the patient needs DTaP, Hib, IPV, Rotavirus and Pneumococcal vaccinations. Because of the patient?s status of Native American, he qualifies for all Vaccine For Children (VFC) supplied vaccines under the status of VFC eligible ? American Indian/Alaska Native. The parents are given 5 Vaccine Information Sheets (VIS) to review. After reading them, they agree that the child should receive all the vaccinations recommended. They also agree that the data should be shared once it is incorporated into the local IIS. Appropriate doses of DTaP/Hib/IPV (Pentacel), Rotavirus (Rota Teq) and Pneumococcal (Prevnar13) are selected from the clinic?s stock of publically funded vaccines. A clinician, Lily Jackson (ID 7824) prepares and administers the doses to the patient and then enters the data into the EHR and transmits it to the IIS.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID	wcApp
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	wcEHR
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID	issApp
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	IIS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624073733.994-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	VXU
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	VXU_V04
MSH-10	Message Control ID	12462
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER
MSH-16	Application Acknowledgment Type	AL
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z22
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	wcEHR
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	IIS
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

PID : Patient Identification

Location	Data Elemenmt	Data	Categrization
PID-1	Set ID - PID	1
PID-2	Patient ID
PID-2.1	ID Number
PID-2.2	Check Digit
PID-2.3	Check Digit Scheme
PID-2.4	Assigning Authority
PID-2.4.1	Namespace ID
PID-2.4.2	Universal ID
PID-2.4.3	Universal ID Type
PID-2.5	Identifier Type Code
PID-2.6	Assigning Facility
PID-2.6.1	Namespace ID
PID-2.6.2	Universal ID
PID-2.6.3	Universal ID Type
PID-2.7	Effective Date
PID-2.8	Expiration Date
PID-2.9	Assigning Jurisdiction
PID-2.9.1	Identifier
PID-2.9.2	Text
PID-2.9.3	Name of Coding System
PID-2.9.4	Alternate Identifier
PID-2.9.5	Alternate Text
PID-2.9.6	Name of Alternate Coding System
PID-2.9.7	Coding System Version ID
PID-2.9.8	Alternate Coding System Version ID
PID-2.9.9	Original Text
PID-2.10	Assigning Agency or Department
PID-2.10.1	Identifier
PID-2.10.2	Text
PID-2.10.3	Name of Coding System
PID-2.10.4	Alternate Identifier
PID-2.10.5	Alternate Text
PID-2.10.6	Name of Alternate Coding System
PID-2.10.7	Coding System Version ID
PID-2.10.8	Alternate Coding System Version ID
PID-2.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	3123
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	wcEHR
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	MR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-4	Alternate Patient ID - PID
PID-4.1	ID Number
PID-4.2	Check Digit
PID-4.3	Check Digit Scheme
PID-4.4	Assigning Authority
PID-4.4.1	Namespace ID
PID-4.4.2	Universal ID
PID-4.4.3	Universal ID Type
PID-4.5	Identifier Type Code
PID-4.6	Assigning Facility
PID-4.6.1	Namespace ID
PID-4.6.2	Universal ID
PID-4.6.3	Universal ID Type
PID-4.7	Effective Date
PID-4.8	Expiration Date
PID-4.9	Assigning Jurisdiction
PID-4.9.1	Identifier
PID-4.9.2	Text
PID-4.9.3	Name of Coding System
PID-4.9.4	Alternate Identifier
PID-4.9.5	Alternate Text
PID-4.9.6	Name of Alternate Coding System
PID-4.9.7	Coding System Version ID
PID-4.9.8	Alternate Coding System Version ID
PID-4.9.9	Original Text
PID-4.10	Assigning Agency or Department
PID-4.10.1	Identifier
PID-4.10.2	Text
PID-4.10.3	Name of Coding System
PID-4.10.4	Alternate Identifier
PID-4.10.5	Alternate Text
PID-4.10.6	Name of Alternate Coding System
PID-4.10.7	Coding System Version ID
PID-4.10.8	Alternate Coding System Version ID
PID-4.10.9	Original Text
PID-5	Patient Name
PID-5.1	Family Name
PID-5.1.1	Surname	Richardson
PID-5.1.2	Own Surname Prefix
PID-5.1.3	Own Surname
PID-5.1.4	Surname Prefix From Partner/Spouse
PID-5.1.5	Surname From Partner/Spouse
PID-5.2	Given Name	Russell
PID-5.3	Second and Further Given Names or Initials Thereof	Clint
PID-5.4	Suffix (e.g., JR or III)
PID-5.5	Prefix (e.g., DR)
PID-5.6	Degree (e.g., MD)
PID-5.7	Name Type Code	L
PID-5.8	Name Representation Code
PID-5.9	Name Context
PID-5.9.1	Identifier
PID-5.9.2	Text
PID-5.9.3	Name of Coding System
PID-5.9.4	Alternate Identifier
PID-5.9.5	Alternate Text
PID-5.9.6	Name of Alternate Coding System
PID-5.10	Name Validity Range
PID-5.10.1	Range Start Date/Time
PID-5.10.2	Range End Date/Time
PID-5.11	Name Assembly Order
PID-5.12	Effective Date
PID-5.12.1	Time
PID-5.12.2	Degree of Precision
PID-5.13	Expiration Date
PID-5.13.1	Time
PID-5.13.2	Degree of Precision
PID-5.14	Professional Suffix
PID-6	Mother's Maiden Name
PID-6.1	Family Name
PID-6.1.1	Surname	Billington
PID-6.1.2	Own Surname Prefix
PID-6.1.3	Own Surname
PID-6.1.4	Surname Prefix From Partner/Spouse
PID-6.1.5	Surname From Partner/Spouse
PID-6.2	Given Name
PID-6.3	Second and Further Given Names or Initials Thereof
PID-6.4	Suffix (e.g., JR or III)
PID-6.5	Prefix (e.g., DR)
PID-6.6	Degree (e.g., MD)
PID-6.7	Name Type Code	M
PID-6.8	Name Representation Code
PID-6.9	Name Context
PID-6.9.1	Identifier
PID-6.9.2	Text
PID-6.9.3	Name of Coding System
PID-6.9.4	Alternate Identifier
PID-6.9.5	Alternate Text
PID-6.9.6	Name of Alternate Coding System
PID-6.10	Name Validity Range
PID-6.10.1	Range Start Date/Time
PID-6.10.2	Range End Date/Time
PID-6.11	Name Assembly Order
PID-6.12	Effective Date
PID-6.12.1	Time
PID-6.12.2	Degree of Precision
PID-6.13	Expiration Date
PID-6.13.1	Time
PID-6.13.2	Degree of Precision
PID-6.14	Professional Suffix
PID-7	Date/Time of Birth
PID-7.1	Time	20150415
PID-7.2	Degree of Precision
PID-8	Administrative Sex	M
PID-9	Patient Alias
PID-9.1	Family Name
PID-9.1.1	Surname
PID-9.1.2	Own Surname Prefix
PID-9.1.3	Own Surname
PID-9.1.4	Surname Prefix From Partner/Spouse
PID-9.1.5	Surname From Partner/Spouse
PID-9.2	Given Name
PID-9.3	Second and Further Given Names or Initials Thereof
PID-9.4	Suffix (e.g., JR or III)
PID-9.5	Prefix (e.g., DR)
PID-9.6	Degree (e.g., MD)
PID-9.7	Name Type Code
PID-9.8	Name Representation Code
PID-9.9	Name Context
PID-9.9.1	Identifier
PID-9.9.2	Text
PID-9.9.3	Name of Coding System
PID-9.9.4	Alternate Identifier
PID-9.9.5	Alternate Text
PID-9.9.6	Name of Alternate Coding System
PID-9.10	Name Validity Range
PID-9.10.1	Range Start Date/Time
PID-9.10.2	Range End Date/Time
PID-9.11	Name Assembly Order
PID-9.12	Effective Date
PID-9.12.1	Time
PID-9.12.2	Degree of Precision
PID-9.13	Expiration Date
PID-9.13.1	Time
PID-9.13.2	Degree of Precision
PID-9.14	Professional Suffix
PID-10	Race
PID-10.1	Identifier	1002-5
PID-10.2	Text	American Indian or Alaska Native
PID-10.3	Name of Coding System	CDCREC
PID-10.4	Alternate Identifier
PID-10.5	Alternate Text
PID-10.6	Name of Alternate Coding System
PID-11	Patient Address
PID-11.1	Street Address
PID-11.1.1	Street or Mailing Address	543 Blount Drive
PID-11.1.2	Street Name
PID-11.1.3	Dwelling Number
PID-11.2	Other Designation
PID-11.3	City	Bozeman
PID-11.4	State or Province	MT
PID-11.5	Zip or Postal Code	59715
PID-11.6	Country	USA
PID-11.7	Address Type	P
PID-11.8	Other Geographic Designation
PID-11.9	County/Parish Code
PID-11.10	Census Tract
PID-11.11	Address Representation Code
PID-11.12	Address Validity Range
PID-11.12.1	Range Start Date/Time
PID-11.12.2	Range End Date/Time
PID-11.13	Effective Date
PID-11.13.1	Time
PID-11.13.2	Degree of Precision
PID-11.14	Expiration Date
PID-11.14.1	Time
PID-11.14.2	Degree of Precision
PID-12	County Code
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	PRN
PID-13.3	Telecommunication Equipment Type	PH
PID-13.4	Email Address
PID-13.5	Country Code
PID-13.6	Area/City Code	406
PID-13.7	Local Number	5557690
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-14	Phone Number - Business
PID-14.1	Telephone Number
PID-14.2	Telecommunication Use Code
PID-14.3	Telecommunication Equipment Type
PID-14.4	Email Address
PID-14.5	Country Code
PID-14.6	Area/City Code
PID-14.7	Local Number
PID-14.8	Extension
PID-14.9	Any Text
PID-14.10	Extension Prefix
PID-14.11	Speed Dial Code
PID-14.12	Unformatted Telephone number
PID-15	Primary Language
PID-15.1	Identifier
PID-15.2	Text
PID-15.3	Name of Coding System
PID-15.4	Alternate Identifier
PID-15.5	Alternate Text
PID-15.6	Name of Alternate Coding System
PID-16	Marital Status
PID-16.1	Identifier
PID-16.2	Text
PID-16.3	Name of Coding System
PID-16.4	Alternate Identifier
PID-16.5	Alternate Text
PID-16.6	Name of Alternate Coding System
PID-17	Religion
PID-17.1	Identifier
PID-17.2	Text
PID-17.3	Name of Coding System
PID-17.4	Alternate Identifier
PID-17.5	Alternate Text
PID-17.6	Name of Alternate Coding System
PID-18	Patient Account Number
PID-18.1	ID Number
PID-18.2	Check Digit
PID-18.3	Check Digit Scheme
PID-18.4	Assigning Authority
PID-18.4.1	Namespace ID
PID-18.4.2	Universal ID
PID-18.4.3	Universal ID Type
PID-18.5	Identifier Type Code
PID-18.6	Assigning Facility
PID-18.6.1	Namespace ID
PID-18.6.2	Universal ID
PID-18.6.3	Universal ID Type
PID-18.7	Effective Date
PID-18.8	Expiration Date
PID-18.9	Assigning Jurisdiction
PID-18.9.1	Identifier
PID-18.9.2	Text
PID-18.9.3	Name of Coding System
PID-18.9.4	Alternate Identifier
PID-18.9.5	Alternate Text
PID-18.9.6	Name of Alternate Coding System
PID-18.9.7	Coding System Version ID
PID-18.9.8	Alternate Coding System Version ID
PID-18.9.9	Original Text
PID-18.10	Assigning Agency or Department
PID-18.10.1	Identifier
PID-18.10.2	Text
PID-18.10.3	Name of Coding System
PID-18.10.4	Alternate Identifier
PID-18.10.5	Alternate Text
PID-18.10.6	Name of Alternate Coding System
PID-18.10.7	Coding System Version ID
PID-18.10.8	Alternate Coding System Version ID
PID-18.10.9	Original Text
PID-19	SSN Number - Patient
PID-20	Driver's License Number - Patient
PID-20.1	License Number
PID-20.2	Issuing State, Province, Country
PID-20.3	Expiration Date
PID-21	Mother's Identifier
PID-21.1	ID Number
PID-21.2	Check Digit
PID-21.3	Check Digit Scheme
PID-21.4	Assigning Authority
PID-21.4.1	Namespace ID
PID-21.4.2	Universal ID
PID-21.4.3	Universal ID Type
PID-21.5	Identifier Type Code
PID-21.6	Assigning Facility
PID-21.6.1	Namespace ID
PID-21.6.2	Universal ID
PID-21.6.3	Universal ID Type
PID-21.7	Effective Date
PID-21.8	Expiration Date
PID-21.9	Assigning Jurisdiction
PID-21.9.1	Identifier
PID-21.9.2	Text
PID-21.9.3	Name of Coding System
PID-21.9.4	Alternate Identifier
PID-21.9.5	Alternate Text
PID-21.9.6	Name of Alternate Coding System
PID-21.9.7	Coding System Version ID
PID-21.9.8	Alternate Coding System Version ID
PID-21.9.9	Original Text
PID-21.10	Assigning Agency or Department
PID-21.10.1	Identifier
PID-21.10.2	Text
PID-21.10.3	Name of Coding System
PID-21.10.4	Alternate Identifier
PID-21.10.5	Alternate Text
PID-21.10.6	Name of Alternate Coding System
PID-21.10.7	Coding System Version ID
PID-21.10.8	Alternate Coding System Version ID
PID-21.10.9	Original Text
PID-22	Ethnic Group
PID-22.1	Identifier	2186-5
PID-22.2	Text	Not Hispanic or Latino
PID-22.3	Name of Coding System	CDCREC
PID-22.4	Alternate Identifier
PID-22.5	Alternate Text
PID-22.6	Name of Alternate Coding System
PID-23	Birth Place
PID-24	Multiple Birth Indicator	N
PID-25	Birth Order	1
PID-26	Citizenship
PID-26.1	Identifier
PID-26.2	Text
PID-26.3	Name of Coding System
PID-26.4	Alternate Identifier
PID-26.5	Alternate Text
PID-26.6	Name of Alternate Coding System
PID-27	Veterans Military Status
PID-27.1	Identifier
PID-27.2	Text
PID-27.3	Name of Coding System
PID-27.4	Alternate Identifier
PID-27.5	Alternate Text
PID-27.6	Name of Alternate Coding System
PID-28	Nationality
PID-28.1	Identifier
PID-28.2	Text
PID-28.3	Name of Coding System
PID-28.4	Alternate Identifier
PID-28.5	Alternate Text
PID-28.6	Name of Alternate Coding System
PID-29	Patient Death Date and Time
PID-29.1	Time
PID-29.2	Degree of Precision
PID-30	Patient Death Indicator	N
PID-31	Identity Unknown Indicator
PID-32	Identity Reliability Code
PID-33	Last Update Date/Time
PID-33.1	Time
PID-33.2	Degree of Precision
PID-34	Last Update Facility
PID-34.1	Namespace ID
PID-34.2	Universal ID
PID-34.3	Universal ID Type
PID-35	Species Code
PID-35.1	Identifier
PID-35.2	Text
PID-35.3	Name of Coding System
PID-35.4	Alternate Identifier
PID-35.5	Alternate Text
PID-35.6	Name of Alternate Coding System
PID-36	Breed Code
PID-36.1	Identifier
PID-36.2	Text
PID-36.3	Name of Coding System
PID-36.4	Alternate Identifier
PID-36.5	Alternate Text
PID-36.6	Name of Alternate Coding System
PID-37	Strain
PID-38	Production Class Code
PID-38.1	Identifier
PID-38.2	Text
PID-38.3	Name of Coding System
PID-38.4	Alternate Identifier
PID-38.5	Alternate Text
PID-38.6	Name of Alternate Coding System
PID-39	Tribal Citizenship
PID-39.1	Identifier
PID-39.2	Text
PID-39.3	Name of Coding System
PID-39.4	Alternate Identifier
PID-39.5	Alternate Text
PID-39.6	Name of Alternate Coding System
PID-39.7	Coding System Version ID
PID-39.8	Alternate Coding System Version ID
PID-39.9	Original Text

PD1 : Patient Additional Demographic

Location	Data Elemenmt	Data	Categrization
PD1-1	Living Dependency
PD1-2	Living Arrangement
PD1-3	Patient Primary Facility
PD1-3.1	Organization Name
PD1-3.2	Organization Name Type Code
PD1-3.3	ID Number
PD1-3.4	Check Digit
PD1-3.5	Check Digit Scheme
PD1-3.6	Assigning Authority
PD1-3.6.1	Namespace ID
PD1-3.6.2	Universal ID
PD1-3.6.3	Universal ID Type
PD1-3.7	Identifier Type Code
PD1-3.8	Assigning Facility
PD1-3.8.1	Namespace ID
PD1-3.8.2	Universal ID
PD1-3.8.3	Universal ID Type
PD1-3.9	Name Representation Code
PD1-3.10	Organization Identifier
PD1-4	Patient Primary Care Provider Name & ID No.
PD1-4.1	ID Number
PD1-4.2	Family Name
PD1-4.2.1	Surname
PD1-4.2.2	Own Surname Prefix
PD1-4.2.3	Own Surname
PD1-4.2.4	Surname Prefix From Partner/Spouse
PD1-4.2.5	Surname From Partner/Spouse
PD1-4.3	Given Name
PD1-4.4	Second and Further Given Names or Initials Thereof
PD1-4.5	Suffix (e.g., JR or III)
PD1-4.6	Prefix (e.g., DR)
PD1-4.7	Degree (e.g., MD)
PD1-4.8	Source Table
PD1-4.9	Assigning Authority
PD1-4.9.1	Namespace ID
PD1-4.9.2	Universal ID
PD1-4.9.3	Universal ID Type
PD1-4.10	Name Type Code
PD1-4.11	Identifier Check Digit
PD1-4.12	Check Digit Scheme
PD1-4.13	Identifier Type Code
PD1-4.14	Assigning Facility
PD1-4.14.1	Namespace ID
PD1-4.14.2	Universal ID
PD1-4.14.3	Universal ID Type
PD1-4.15	Name Representation Code
PD1-4.16	Name Context
PD1-4.16.1	Identifier
PD1-4.16.2	Text
PD1-4.16.3	Name of Coding System
PD1-4.16.4	Alternate Identifier
PD1-4.16.5	Alternate Text
PD1-4.16.6	Name of Alternate Coding System
PD1-4.17	Name Validity Range
PD1-4.17.1	Range Start Date/Time
PD1-4.17.2	Range End Date/Time
PD1-4.18	Name Assembly Order
PD1-4.19	Effective Date
PD1-4.19.1	Time
PD1-4.19.2	Degree of Precision
PD1-4.20	Expiration Date
PD1-4.20.1	Time
PD1-4.20.2	Degree of Precision
PD1-4.21	Professional Suffix
PD1-4.22	Assigning Jurisdiction
PD1-4.22.1	Identifier
PD1-4.22.2	Text
PD1-4.22.3	Name of Coding System
PD1-4.22.4	Alternate Identifier
PD1-4.22.5	Alternate Text
PD1-4.22.6	Name of Alternate Coding System
PD1-4.22.7	Coding System Version ID
PD1-4.22.8	Alternate Coding System Version ID
PD1-4.22.9	Original Text
PD1-4.23	Assigning Agency or Department
PD1-4.23.1	Identifier
PD1-4.23.2	Text
PD1-4.23.3	Name of Coding System
PD1-4.23.4	Alternate Identifier
PD1-4.23.5	Alternate Text
PD1-4.23.6	Name of Alternate Coding System
PD1-4.23.7	Coding System Version ID
PD1-4.23.8	Alternate Coding System Version ID
PD1-4.23.9	Original Text
PD1-5	Student Indicator
PD1-6	Handicap
PD1-7	Living Will Code
PD1-8	Organ Donor Code
PD1-9	Separate Bill
PD1-10	Duplicate Patient
PD1-10.1	ID Number
PD1-10.2	Check Digit
PD1-10.3	Check Digit Scheme
PD1-10.4	Assigning Authority
PD1-10.4.1	Namespace ID
PD1-10.4.2	Universal ID
PD1-10.4.3	Universal ID Type
PD1-10.5	Identifier Type Code
PD1-10.6	Assigning Facility
PD1-10.6.1	Namespace ID
PD1-10.6.2	Universal ID
PD1-10.6.3	Universal ID Type
PD1-10.7	Effective Date
PD1-10.8	Expiration Date
PD1-10.9	Assigning Jurisdiction
PD1-10.9.1	Identifier
PD1-10.9.2	Text
PD1-10.9.3	Name of Coding System
PD1-10.9.4	Alternate Identifier
PD1-10.9.5	Alternate Text
PD1-10.9.6	Name of Alternate Coding System
PD1-10.9.7	Coding System Version ID
PD1-10.9.8	Alternate Coding System Version ID
PD1-10.9.9	Original Text
PD1-10.10	Assigning Agency or Department
PD1-10.10.1	Identifier
PD1-10.10.2	Text
PD1-10.10.3	Name of Coding System
PD1-10.10.4	Alternate Identifier
PD1-10.10.5	Alternate Text
PD1-10.10.6	Name of Alternate Coding System
PD1-10.10.7	Coding System Version ID
PD1-10.10.8	Alternate Coding System Version ID
PD1-10.10.9	Original Text
PD1-11	Publicity Code
PD1-11.1	Identifier	07
PD1-11.2	Text	Recall only - no calls
PD1-11.3	Name of Coding System	HL70215
PD1-11.4	Alternate Identifier
PD1-11.5	Alternate Text
PD1-11.6	Name of Alternate Coding System
PD1-12	Protection Indicator	N
PD1-13	Protection Indicator Effective Date	20150624
PD1-14	Place of Worship
PD1-14.1	Organization Name
PD1-14.2	Organization Name Type Code
PD1-14.3	ID Number
PD1-14.4	Check Digit
PD1-14.5	Check Digit Scheme
PD1-14.6	Assigning Authority
PD1-14.6.1	Namespace ID
PD1-14.6.2	Universal ID
PD1-14.6.3	Universal ID Type
PD1-14.7	Identifier Type Code
PD1-14.8	Assigning Facility
PD1-14.8.1	Namespace ID
PD1-14.8.2	Universal ID
PD1-14.8.3	Universal ID Type
PD1-14.9	Name Representation Code
PD1-14.10	Organization Identifier
PD1-15	Advance Directive Code
PD1-15.1	Identifier
PD1-15.2	Text
PD1-15.3	Name of Coding System
PD1-15.4	Alternate Identifier
PD1-15.5	Alternate Text
PD1-15.6	Name of Alternate Coding System
PD1-16	Immunization Registry Status	A
PD1-17	Immunization Registry Status Effective Date	20150415
PD1-18	Publicity Code Effective Date	20150624
PD1-19	Military Branch
PD1-20	Military Rank/Grade
PD1-21	Military Status

NK1 : Next of Kin / Associated Parties

Location	Data Elemenmt	Data	Categrization
NK1-1	Set ID - NK1	1
NK1-2	Name
NK1-2.1	Family Name
NK1-2.1.1	Surname	Richardson
NK1-2.1.2	Own Surname Prefix
NK1-2.1.3	Own Surname
NK1-2.1.4	Surname Prefix From Partner/Spouse
NK1-2.1.5	Surname From Partner/Spouse
NK1-2.2	Given Name	Maria
NK1-2.3	Second and Further Given Names or Initials Thereof	Elizabeth
NK1-2.4	Suffix (e.g., JR or III)
NK1-2.5	Prefix (e.g., DR)
NK1-2.6	Degree (e.g., MD)
NK1-2.7	Name Type Code	L
NK1-2.8	Name Representation Code
NK1-2.9	Name Context
NK1-2.9.1	Identifier
NK1-2.9.2	Text
NK1-2.9.3	Name of Coding System
NK1-2.9.4	Alternate Identifier
NK1-2.9.5	Alternate Text
NK1-2.9.6	Name of Alternate Coding System
NK1-2.10	Name Validity Range
NK1-2.10.1	Range Start Date/Time
NK1-2.10.2	Range End Date/Time
NK1-2.11	Name Assembly Order
NK1-2.12	Effective Date
NK1-2.12.1	Time
NK1-2.12.2	Degree of Precision
NK1-2.13	Expiration Date
NK1-2.13.1	Time
NK1-2.13.2	Degree of Precision
NK1-2.14	Professional Suffix
NK1-3	Relationship
NK1-3.1	Identifier	MTH
NK1-3.2	Text	Mother
NK1-3.3	Name of Coding System	HL70063
NK1-3.4	Alternate Identifier
NK1-3.5	Alternate Text
NK1-3.6	Name of Alternate Coding System
NK1-4	Address
NK1-4.1	Street Address
NK1-4.1.1	Street or Mailing Address	543 Blount Drive
NK1-4.1.2	Street Name
NK1-4.1.3	Dwelling Number
NK1-4.2	Other Designation
NK1-4.3	City	Bozeman
NK1-4.4	State or Province	MT
NK1-4.5	Zip or Postal Code	59715
NK1-4.6	Country	USA
NK1-4.7	Address Type	P
NK1-4.8	Other Geographic Designation
NK1-4.9	County/Parish Code
NK1-4.10	Census Tract
NK1-4.11	Address Representation Code
NK1-4.12	Address Validity Range
NK1-4.12.1	Range Start Date/Time
NK1-4.12.2	Range End Date/Time
NK1-4.13	Effective Date
NK1-4.13.1	Time
NK1-4.13.2	Degree of Precision
NK1-4.14	Expiration Date
NK1-4.14.1	Time
NK1-4.14.2	Degree of Precision
NK1-5	Phone Number
NK1-5.1	Telephone Number
NK1-5.2	Telecommunication Use Code	PRN
NK1-5.3	Telecommunication Equipment Type	PH
NK1-5.4	Email Address
NK1-5.5	Country Code
NK1-5.6	Area/City Code	406
NK1-5.7	Local Number	5557690
NK1-5.8	Extension
NK1-5.9	Any Text
NK1-5.10	Extension Prefix
NK1-5.11	Speed Dial Code
NK1-5.12	Unformatted Telephone number
NK1-6	Business Phone Number
NK1-6.1	Telephone Number
NK1-6.2	Telecommunication Use Code
NK1-6.3	Telecommunication Equipment Type
NK1-6.4	Email Address
NK1-6.5	Country Code
NK1-6.6	Area/City Code
NK1-6.7	Local Number
NK1-6.8	Extension
NK1-6.9	Any Text
NK1-6.10	Extension Prefix
NK1-6.11	Speed Dial Code
NK1-6.12	Unformatted Telephone number
NK1-7	Contact Role
NK1-7.1	Identifier
NK1-7.2	Text
NK1-7.3	Name of Coding System
NK1-7.4	Alternate Identifier
NK1-7.5	Alternate Text
NK1-7.6	Name of Alternate Coding System
NK1-8	Start Date
NK1-9	End Date
NK1-10	Next of Kin / Associated Parties Job Title
NK1-11	Next of Kin / Associated Parties Job Code/Class
NK1-11.1	Job Code
NK1-11.2	Job Class
NK1-11.3	Job Description Text
NK1-12	Next of Kin / Associated Parties Employee Number
NK1-12.1	ID Number
NK1-12.2	Check Digit
NK1-12.3	Check Digit Scheme
NK1-12.4	Assigning Authority
NK1-12.4.1	Namespace ID
NK1-12.4.2	Universal ID
NK1-12.4.3	Universal ID Type
NK1-12.5	Identifier Type Code
NK1-12.6	Assigning Facility
NK1-12.6.1	Namespace ID
NK1-12.6.2	Universal ID
NK1-12.6.3	Universal ID Type
NK1-12.7	Effective Date
NK1-12.8	Expiration Date
NK1-12.9	Assigning Jurisdiction
NK1-12.9.1	Identifier
NK1-12.9.2	Text
NK1-12.9.3	Name of Coding System
NK1-12.9.4	Alternate Identifier
NK1-12.9.5	Alternate Text
NK1-12.9.6	Name of Alternate Coding System
NK1-12.9.7	Coding System Version ID
NK1-12.9.8	Alternate Coding System Version ID
NK1-12.9.9	Original Text
NK1-12.10	Assigning Agency or Department
NK1-12.10.1	Identifier
NK1-12.10.2	Text
NK1-12.10.3	Name of Coding System
NK1-12.10.4	Alternate Identifier
NK1-12.10.5	Alternate Text
NK1-12.10.6	Name of Alternate Coding System
NK1-12.10.7	Coding System Version ID
NK1-12.10.8	Alternate Coding System Version ID
NK1-12.10.9	Original Text
NK1-13	Organization Name - NK1
NK1-13.1	Organization Name
NK1-13.2	Organization Name Type Code
NK1-13.3	ID Number
NK1-13.4	Check Digit
NK1-13.5	Check Digit Scheme
NK1-13.6	Assigning Authority
NK1-13.6.1	Namespace ID
NK1-13.6.2	Universal ID
NK1-13.6.3	Universal ID Type
NK1-13.7	Identifier Type Code
NK1-13.8	Assigning Facility
NK1-13.8.1	Namespace ID
NK1-13.8.2	Universal ID
NK1-13.8.3	Universal ID Type
NK1-13.9	Name Representation Code
NK1-13.10	Organization Identifier
NK1-14	Marital Status
NK1-14.1	Identifier
NK1-14.2	Text
NK1-14.3	Name of Coding System
NK1-14.4	Alternate Identifier
NK1-14.5	Alternate Text
NK1-14.6	Name of Alternate Coding System
NK1-15	Administrative Sex
NK1-16	Date/Time of Birth
NK1-16.1	Time
NK1-16.2	Degree of Precision
NK1-17	Living Dependency
NK1-18	Ambulatory Status
NK1-19	Citizenship
NK1-19.1	Identifier
NK1-19.2	Text
NK1-19.3	Name of Coding System
NK1-19.4	Alternate Identifier
NK1-19.5	Alternate Text
NK1-19.6	Name of Alternate Coding System
NK1-20	Primary Language
NK1-20.1	Identifier
NK1-20.2	Text
NK1-20.3	Name of Coding System
NK1-20.4	Alternate Identifier
NK1-20.5	Alternate Text
NK1-20.6	Name of Alternate Coding System
NK1-21	Living Arrangement
NK1-22	Publicity Code
NK1-22.1	Identifier
NK1-22.2	Text
NK1-22.3	Name of Coding System
NK1-22.4	Alternate Identifier
NK1-22.5	Alternate Text
NK1-22.6	Name of Alternate Coding System
NK1-23	Protection Indicator
NK1-24	Student Indicator
NK1-25	Religion
NK1-25.1	Identifier
NK1-25.2	Text
NK1-25.3	Name of Coding System
NK1-25.4	Alternate Identifier
NK1-25.5	Alternate Text
NK1-25.6	Name of Alternate Coding System
NK1-26	Mother's Maiden Name
NK1-26.1	Family Name
NK1-26.1.1	Surname
NK1-26.1.2	Own Surname Prefix
NK1-26.1.3	Own Surname
NK1-26.1.4	Surname Prefix From Partner/Spouse
NK1-26.1.5	Surname From Partner/Spouse
NK1-26.2	Given Name
NK1-26.3	Second and Further Given Names or Initials Thereof
NK1-26.4	Suffix (e.g., JR or III)
NK1-26.5	Prefix (e.g., DR)
NK1-26.6	Degree (e.g., MD)
NK1-26.7	Name Type Code
NK1-26.8	Name Representation Code
NK1-26.9	Name Context
NK1-26.9.1	Identifier
NK1-26.9.2	Text
NK1-26.9.3	Name of Coding System
NK1-26.9.4	Alternate Identifier
NK1-26.9.5	Alternate Text
NK1-26.9.6	Name of Alternate Coding System
NK1-26.10	Name Validity Range
NK1-26.10.1	Range Start Date/Time
NK1-26.10.2	Range End Date/Time
NK1-26.11	Name Assembly Order
NK1-26.12	Effective Date
NK1-26.12.1	Time
NK1-26.12.2	Degree of Precision
NK1-26.13	Expiration Date
NK1-26.13.1	Time
NK1-26.13.2	Degree of Precision
NK1-26.14	Professional Suffix
NK1-27	Nationality
NK1-27.1	Identifier
NK1-27.2	Text
NK1-27.3	Name of Coding System
NK1-27.4	Alternate Identifier
NK1-27.5	Alternate Text
NK1-27.6	Name of Alternate Coding System
NK1-28	Ethnic Group
NK1-28.1	Identifier
NK1-28.2	Text
NK1-28.3	Name of Coding System
NK1-28.4	Alternate Identifier
NK1-28.5	Alternate Text
NK1-28.6	Name of Alternate Coding System
NK1-29	Contact Reason
NK1-29.1	Identifier
NK1-29.2	Text
NK1-29.3	Name of Coding System
NK1-29.4	Alternate Identifier
NK1-29.5	Alternate Text
NK1-29.6	Name of Alternate Coding System
NK1-30	Contact Person's Name
NK1-30.1	Family Name
NK1-30.1.1	Surname
NK1-30.1.2	Own Surname Prefix
NK1-30.1.3	Own Surname
NK1-30.1.4	Surname Prefix From Partner/Spouse
NK1-30.1.5	Surname From Partner/Spouse
NK1-30.2	Given Name
NK1-30.3	Second and Further Given Names or Initials Thereof
NK1-30.4	Suffix (e.g., JR or III)
NK1-30.5	Prefix (e.g., DR)
NK1-30.6	Degree (e.g., MD)
NK1-30.7	Name Type Code
NK1-30.8	Name Representation Code
NK1-30.9	Name Context
NK1-30.9.1	Identifier
NK1-30.9.2	Text
NK1-30.9.3	Name of Coding System
NK1-30.9.4	Alternate Identifier
NK1-30.9.5	Alternate Text
NK1-30.9.6	Name of Alternate Coding System
NK1-30.10	Name Validity Range
NK1-30.10.1	Range Start Date/Time
NK1-30.10.2	Range End Date/Time
NK1-30.11	Name Assembly Order
NK1-30.12	Effective Date
NK1-30.12.1	Time
NK1-30.12.2	Degree of Precision
NK1-30.13	Expiration Date
NK1-30.13.1	Time
NK1-30.13.2	Degree of Precision
NK1-30.14	Professional Suffix
NK1-31	Contact Person's Telephone Number
NK1-31.1	Telephone Number
NK1-31.2	Telecommunication Use Code
NK1-31.3	Telecommunication Equipment Type
NK1-31.4	Email Address
NK1-31.5	Country Code
NK1-31.6	Area/City Code
NK1-31.7	Local Number
NK1-31.8	Extension
NK1-31.9	Any Text
NK1-31.10	Extension Prefix
NK1-31.11	Speed Dial Code
NK1-31.12	Unformatted Telephone number
NK1-32	Contact Person's Address
NK1-32.1	Street Address
NK1-32.1.1	Street or Mailing Address
NK1-32.1.2	Street Name
NK1-32.1.3	Dwelling Number
NK1-32.2	Other Designation
NK1-32.3	City
NK1-32.4	State or Province
NK1-32.5	Zip or Postal Code
NK1-32.6	Country
NK1-32.7	Address Type
NK1-32.8	Other Geographic Designation
NK1-32.9	County/Parish Code
NK1-32.10	Census Tract
NK1-32.11	Address Representation Code
NK1-32.12	Address Validity Range
NK1-32.12.1	Range Start Date/Time
NK1-32.12.2	Range End Date/Time
NK1-32.13	Effective Date
NK1-32.13.1	Time
NK1-32.13.2	Degree of Precision
NK1-32.14	Expiration Date
NK1-32.14.1	Time
NK1-32.14.2	Degree of Precision
NK1-33	Next of Kin/Associated Party's Identifiers
NK1-33.1	ID Number
NK1-33.2	Check Digit
NK1-33.3	Check Digit Scheme
NK1-33.4	Assigning Authority
NK1-33.4.1	Namespace ID
NK1-33.4.2	Universal ID
NK1-33.4.3	Universal ID Type
NK1-33.5	Identifier Type Code
NK1-33.6	Assigning Facility
NK1-33.6.1	Namespace ID
NK1-33.6.2	Universal ID
NK1-33.6.3	Universal ID Type
NK1-33.7	Effective Date
NK1-33.8	Expiration Date
NK1-33.9	Assigning Jurisdiction
NK1-33.9.1	Identifier
NK1-33.9.2	Text
NK1-33.9.3	Name of Coding System
NK1-33.9.4	Alternate Identifier
NK1-33.9.5	Alternate Text
NK1-33.9.6	Name of Alternate Coding System
NK1-33.9.7	Coding System Version ID
NK1-33.9.8	Alternate Coding System Version ID
NK1-33.9.9	Original Text
NK1-33.10	Assigning Agency or Department
NK1-33.10.1	Identifier
NK1-33.10.2	Text
NK1-33.10.3	Name of Coding System
NK1-33.10.4	Alternate Identifier
NK1-33.10.5	Alternate Text
NK1-33.10.6	Name of Alternate Coding System
NK1-33.10.7	Coding System Version ID
NK1-33.10.8	Alternate Coding System Version ID
NK1-33.10.9	Original Text
NK1-34	Job Status
NK1-35	Race
NK1-35.1	Identifier
NK1-35.2	Text
NK1-35.3	Name of Coding System
NK1-35.4	Alternate Identifier
NK1-35.5	Alternate Text
NK1-35.6	Name of Alternate Coding System
NK1-36	Handicap
NK1-37	Contact Person Social Security Number
NK1-38	Next of Kin Birth Place
NK1-39	VIP Indicator

NK1 : Next of Kin / Associated Parties

Location	Data Elemenmt	Data	Categrization
NK1-1	Set ID - NK1	2
NK1-2	Name
NK1-2.1	Family Name
NK1-2.1.1	Surname	Richardson
NK1-2.1.2	Own Surname Prefix
NK1-2.1.3	Own Surname
NK1-2.1.4	Surname Prefix From Partner/Spouse
NK1-2.1.5	Surname From Partner/Spouse
NK1-2.2	Given Name	John
NK1-2.3	Second and Further Given Names or Initials Thereof	William
NK1-2.4	Suffix (e.g., JR or III)
NK1-2.5	Prefix (e.g., DR)
NK1-2.6	Degree (e.g., MD)
NK1-2.7	Name Type Code	L
NK1-2.8	Name Representation Code
NK1-2.9	Name Context
NK1-2.9.1	Identifier
NK1-2.9.2	Text
NK1-2.9.3	Name of Coding System
NK1-2.9.4	Alternate Identifier
NK1-2.9.5	Alternate Text
NK1-2.9.6	Name of Alternate Coding System
NK1-2.10	Name Validity Range
NK1-2.10.1	Range Start Date/Time
NK1-2.10.2	Range End Date/Time
NK1-2.11	Name Assembly Order
NK1-2.12	Effective Date
NK1-2.12.1	Time
NK1-2.12.2	Degree of Precision
NK1-2.13	Expiration Date
NK1-2.13.1	Time
NK1-2.13.2	Degree of Precision
NK1-2.14	Professional Suffix
NK1-3	Relationship
NK1-3.1	Identifier	FTH
NK1-3.2	Text	Father
NK1-3.3	Name of Coding System	HL70063
NK1-3.4	Alternate Identifier
NK1-3.5	Alternate Text
NK1-3.6	Name of Alternate Coding System
NK1-4	Address
NK1-4.1	Street Address
NK1-4.1.1	Street or Mailing Address	543 Blount Drive
NK1-4.1.2	Street Name
NK1-4.1.3	Dwelling Number
NK1-4.2	Other Designation
NK1-4.3	City	Bozeman
NK1-4.4	State or Province	MT
NK1-4.5	Zip or Postal Code	59715
NK1-4.6	Country	USA
NK1-4.7	Address Type	P
NK1-4.8	Other Geographic Designation
NK1-4.9	County/Parish Code
NK1-4.10	Census Tract
NK1-4.11	Address Representation Code
NK1-4.12	Address Validity Range
NK1-4.12.1	Range Start Date/Time
NK1-4.12.2	Range End Date/Time
NK1-4.13	Effective Date
NK1-4.13.1	Time
NK1-4.13.2	Degree of Precision
NK1-4.14	Expiration Date
NK1-4.14.1	Time
NK1-4.14.2	Degree of Precision
NK1-5	Phone Number
NK1-5.1	Telephone Number
NK1-5.2	Telecommunication Use Code	PRN
NK1-5.3	Telecommunication Equipment Type	CP
NK1-5.4	Email Address
NK1-5.5	Country Code
NK1-5.6	Area/City Code	406
NK1-5.7	Local Number	5558299
NK1-5.8	Extension
NK1-5.9	Any Text
NK1-5.10	Extension Prefix
NK1-5.11	Speed Dial Code
NK1-5.12	Unformatted Telephone number
NK1-6	Business Phone Number
NK1-6.1	Telephone Number
NK1-6.2	Telecommunication Use Code
NK1-6.3	Telecommunication Equipment Type
NK1-6.4	Email Address
NK1-6.5	Country Code
NK1-6.6	Area/City Code
NK1-6.7	Local Number
NK1-6.8	Extension
NK1-6.9	Any Text
NK1-6.10	Extension Prefix
NK1-6.11	Speed Dial Code
NK1-6.12	Unformatted Telephone number
NK1-7	Contact Role
NK1-7.1	Identifier
NK1-7.2	Text
NK1-7.3	Name of Coding System
NK1-7.4	Alternate Identifier
NK1-7.5	Alternate Text
NK1-7.6	Name of Alternate Coding System
NK1-8	Start Date
NK1-9	End Date
NK1-10	Next of Kin / Associated Parties Job Title
NK1-11	Next of Kin / Associated Parties Job Code/Class
NK1-11.1	Job Code
NK1-11.2	Job Class
NK1-11.3	Job Description Text
NK1-12	Next of Kin / Associated Parties Employee Number
NK1-12.1	ID Number
NK1-12.2	Check Digit
NK1-12.3	Check Digit Scheme
NK1-12.4	Assigning Authority
NK1-12.4.1	Namespace ID
NK1-12.4.2	Universal ID
NK1-12.4.3	Universal ID Type
NK1-12.5	Identifier Type Code
NK1-12.6	Assigning Facility
NK1-12.6.1	Namespace ID
NK1-12.6.2	Universal ID
NK1-12.6.3	Universal ID Type
NK1-12.7	Effective Date
NK1-12.8	Expiration Date
NK1-12.9	Assigning Jurisdiction
NK1-12.9.1	Identifier
NK1-12.9.2	Text
NK1-12.9.3	Name of Coding System
NK1-12.9.4	Alternate Identifier
NK1-12.9.5	Alternate Text
NK1-12.9.6	Name of Alternate Coding System
NK1-12.9.7	Coding System Version ID
NK1-12.9.8	Alternate Coding System Version ID
NK1-12.9.9	Original Text
NK1-12.10	Assigning Agency or Department
NK1-12.10.1	Identifier
NK1-12.10.2	Text
NK1-12.10.3	Name of Coding System
NK1-12.10.4	Alternate Identifier
NK1-12.10.5	Alternate Text
NK1-12.10.6	Name of Alternate Coding System
NK1-12.10.7	Coding System Version ID
NK1-12.10.8	Alternate Coding System Version ID
NK1-12.10.9	Original Text
NK1-13	Organization Name - NK1
NK1-13.1	Organization Name
NK1-13.2	Organization Name Type Code
NK1-13.3	ID Number
NK1-13.4	Check Digit
NK1-13.5	Check Digit Scheme
NK1-13.6	Assigning Authority
NK1-13.6.1	Namespace ID
NK1-13.6.2	Universal ID
NK1-13.6.3	Universal ID Type
NK1-13.7	Identifier Type Code
NK1-13.8	Assigning Facility
NK1-13.8.1	Namespace ID
NK1-13.8.2	Universal ID
NK1-13.8.3	Universal ID Type
NK1-13.9	Name Representation Code
NK1-13.10	Organization Identifier
NK1-14	Marital Status
NK1-14.1	Identifier
NK1-14.2	Text
NK1-14.3	Name of Coding System
NK1-14.4	Alternate Identifier
NK1-14.5	Alternate Text
NK1-14.6	Name of Alternate Coding System
NK1-15	Administrative Sex
NK1-16	Date/Time of Birth
NK1-16.1	Time
NK1-16.2	Degree of Precision
NK1-17	Living Dependency
NK1-18	Ambulatory Status
NK1-19	Citizenship
NK1-19.1	Identifier
NK1-19.2	Text
NK1-19.3	Name of Coding System
NK1-19.4	Alternate Identifier
NK1-19.5	Alternate Text
NK1-19.6	Name of Alternate Coding System
NK1-20	Primary Language
NK1-20.1	Identifier
NK1-20.2	Text
NK1-20.3	Name of Coding System
NK1-20.4	Alternate Identifier
NK1-20.5	Alternate Text
NK1-20.6	Name of Alternate Coding System
NK1-21	Living Arrangement
NK1-22	Publicity Code
NK1-22.1	Identifier
NK1-22.2	Text
NK1-22.3	Name of Coding System
NK1-22.4	Alternate Identifier
NK1-22.5	Alternate Text
NK1-22.6	Name of Alternate Coding System
NK1-23	Protection Indicator
NK1-24	Student Indicator
NK1-25	Religion
NK1-25.1	Identifier
NK1-25.2	Text
NK1-25.3	Name of Coding System
NK1-25.4	Alternate Identifier
NK1-25.5	Alternate Text
NK1-25.6	Name of Alternate Coding System
NK1-26	Mother's Maiden Name
NK1-26.1	Family Name
NK1-26.1.1	Surname
NK1-26.1.2	Own Surname Prefix
NK1-26.1.3	Own Surname
NK1-26.1.4	Surname Prefix From Partner/Spouse
NK1-26.1.5	Surname From Partner/Spouse
NK1-26.2	Given Name
NK1-26.3	Second and Further Given Names or Initials Thereof
NK1-26.4	Suffix (e.g., JR or III)
NK1-26.5	Prefix (e.g., DR)
NK1-26.6	Degree (e.g., MD)
NK1-26.7	Name Type Code
NK1-26.8	Name Representation Code
NK1-26.9	Name Context
NK1-26.9.1	Identifier
NK1-26.9.2	Text
NK1-26.9.3	Name of Coding System
NK1-26.9.4	Alternate Identifier
NK1-26.9.5	Alternate Text
NK1-26.9.6	Name of Alternate Coding System
NK1-26.10	Name Validity Range
NK1-26.10.1	Range Start Date/Time
NK1-26.10.2	Range End Date/Time
NK1-26.11	Name Assembly Order
NK1-26.12	Effective Date
NK1-26.12.1	Time
NK1-26.12.2	Degree of Precision
NK1-26.13	Expiration Date
NK1-26.13.1	Time
NK1-26.13.2	Degree of Precision
NK1-26.14	Professional Suffix
NK1-27	Nationality
NK1-27.1	Identifier
NK1-27.2	Text
NK1-27.3	Name of Coding System
NK1-27.4	Alternate Identifier
NK1-27.5	Alternate Text
NK1-27.6	Name of Alternate Coding System
NK1-28	Ethnic Group
NK1-28.1	Identifier
NK1-28.2	Text
NK1-28.3	Name of Coding System
NK1-28.4	Alternate Identifier
NK1-28.5	Alternate Text
NK1-28.6	Name of Alternate Coding System
NK1-29	Contact Reason
NK1-29.1	Identifier
NK1-29.2	Text
NK1-29.3	Name of Coding System
NK1-29.4	Alternate Identifier
NK1-29.5	Alternate Text
NK1-29.6	Name of Alternate Coding System
NK1-30	Contact Person's Name
NK1-30.1	Family Name
NK1-30.1.1	Surname
NK1-30.1.2	Own Surname Prefix
NK1-30.1.3	Own Surname
NK1-30.1.4	Surname Prefix From Partner/Spouse
NK1-30.1.5	Surname From Partner/Spouse
NK1-30.2	Given Name
NK1-30.3	Second and Further Given Names or Initials Thereof
NK1-30.4	Suffix (e.g., JR or III)
NK1-30.5	Prefix (e.g., DR)
NK1-30.6	Degree (e.g., MD)
NK1-30.7	Name Type Code
NK1-30.8	Name Representation Code
NK1-30.9	Name Context
NK1-30.9.1	Identifier
NK1-30.9.2	Text
NK1-30.9.3	Name of Coding System
NK1-30.9.4	Alternate Identifier
NK1-30.9.5	Alternate Text
NK1-30.9.6	Name of Alternate Coding System
NK1-30.10	Name Validity Range
NK1-30.10.1	Range Start Date/Time
NK1-30.10.2	Range End Date/Time
NK1-30.11	Name Assembly Order
NK1-30.12	Effective Date
NK1-30.12.1	Time
NK1-30.12.2	Degree of Precision
NK1-30.13	Expiration Date
NK1-30.13.1	Time
NK1-30.13.2	Degree of Precision
NK1-30.14	Professional Suffix
NK1-31	Contact Person's Telephone Number
NK1-31.1	Telephone Number
NK1-31.2	Telecommunication Use Code
NK1-31.3	Telecommunication Equipment Type
NK1-31.4	Email Address
NK1-31.5	Country Code
NK1-31.6	Area/City Code
NK1-31.7	Local Number
NK1-31.8	Extension
NK1-31.9	Any Text
NK1-31.10	Extension Prefix
NK1-31.11	Speed Dial Code
NK1-31.12	Unformatted Telephone number
NK1-32	Contact Person's Address
NK1-32.1	Street Address
NK1-32.1.1	Street or Mailing Address
NK1-32.1.2	Street Name
NK1-32.1.3	Dwelling Number
NK1-32.2	Other Designation
NK1-32.3	City
NK1-32.4	State or Province
NK1-32.5	Zip or Postal Code
NK1-32.6	Country
NK1-32.7	Address Type
NK1-32.8	Other Geographic Designation
NK1-32.9	County/Parish Code
NK1-32.10	Census Tract
NK1-32.11	Address Representation Code
NK1-32.12	Address Validity Range
NK1-32.12.1	Range Start Date/Time
NK1-32.12.2	Range End Date/Time
NK1-32.13	Effective Date
NK1-32.13.1	Time
NK1-32.13.2	Degree of Precision
NK1-32.14	Expiration Date
NK1-32.14.1	Time
NK1-32.14.2	Degree of Precision
NK1-33	Next of Kin/Associated Party's Identifiers
NK1-33.1	ID Number
NK1-33.2	Check Digit
NK1-33.3	Check Digit Scheme
NK1-33.4	Assigning Authority
NK1-33.4.1	Namespace ID
NK1-33.4.2	Universal ID
NK1-33.4.3	Universal ID Type
NK1-33.5	Identifier Type Code
NK1-33.6	Assigning Facility
NK1-33.6.1	Namespace ID
NK1-33.6.2	Universal ID
NK1-33.6.3	Universal ID Type
NK1-33.7	Effective Date
NK1-33.8	Expiration Date
NK1-33.9	Assigning Jurisdiction
NK1-33.9.1	Identifier
NK1-33.9.2	Text
NK1-33.9.3	Name of Coding System
NK1-33.9.4	Alternate Identifier
NK1-33.9.5	Alternate Text
NK1-33.9.6	Name of Alternate Coding System
NK1-33.9.7	Coding System Version ID
NK1-33.9.8	Alternate Coding System Version ID
NK1-33.9.9	Original Text
NK1-33.10	Assigning Agency or Department
NK1-33.10.1	Identifier
NK1-33.10.2	Text
NK1-33.10.3	Name of Coding System
NK1-33.10.4	Alternate Identifier
NK1-33.10.5	Alternate Text
NK1-33.10.6	Name of Alternate Coding System
NK1-33.10.7	Coding System Version ID
NK1-33.10.8	Alternate Coding System Version ID
NK1-33.10.9	Original Text
NK1-34	Job Status
NK1-35	Race
NK1-35.1	Identifier
NK1-35.2	Text
NK1-35.3	Name of Coding System
NK1-35.4	Alternate Identifier
NK1-35.5	Alternate Text
NK1-35.6	Name of Alternate Coding System
NK1-36	Handicap
NK1-37	Contact Person Social Security Number
NK1-38	Next of Kin Birth Place
NK1-39	VIP Indicator

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	3140
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	38766
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150624
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	110
RXA-5.2	Text	DTaP-Hep B-IPV
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	526434
RXA-16	Substance Expiration Date
RXA-16.1	Time	20150722
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	SKB
RXA-17.2	Text	GlaxoSmithKline
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	Intramuscular
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier	RT
RXR-2.2	Text	Right Thigh
RXR-2.3	Name of Coding System	HL70163
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	VXC50
OBX-5.2	Text	Public
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V04
OBX-5.2	Text	VFC Eligible - American Indian/Alaska Native
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300017211111108
OBX-5.2	Text	Polio VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150624
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	5
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	4
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300005911120202
OBX-5.2	Text	Hepatitis B VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	6
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	4
OBX-5	Observation Value	20150624
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	7
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	5
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300003511070517
OBX-5.2	Text	Diphtheria/Tetanus/Pertussis (DTaP) VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	8
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	5
OBX-5	Observation Value	20150624
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	8681
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	65138
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150624
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	116
RXA-5.2	Text	rotavirus, pentavalent
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	2.0
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	297961
RXA-16	Substance Expiration Date
RXA-16.1	Time	20150916
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	MSD
RXA-17.2	Text	Merck and Co., Inc.
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C38288
RXR-1.2	Text	Oral
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier
RXR-2.2	Text
RXR-2.3	Name of Coding System
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	VXC50
OBX-5.2	Text	Public
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V04
OBX-5.2	Text	VFC Eligible - American Indian/Alaska Native
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier	20150624
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300019611150415
OBX-5.2	Text	Rotavirus VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150624
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	7491
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	79539
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150624
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	133
RXA-5.2	Text	Pneumococcal conjugate PCV 13
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	353480
RXA-16	Substance Expiration Date
RXA-16.1	Time	20150729
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	PFR
RXA-17.2	Text	Pfizer, Inc
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	Intramuscular
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier	LT
RXR-2.2	Text	Left Thigh
RXR-2.3	Name of Coding System	HL70163
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	VXC50
OBX-5.2	Text	Public
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V04
OBX-5.2	Text	VFC Eligible - American Indian/Alaska Native
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier	20150624
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300015811130227
OBX-5.2	Text	Pneumococcal Conjugate (PCV13) VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150624
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	9077
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	31528
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150416
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	45
RXA-5.2	Text	Hep B, unspecified formulation
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	Historical Administration
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	299
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	82668
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150515
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	45
RXA-5.2	Text	Hep B, unspecified formulation
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	Historical Administration
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

Test Data Specification

Patient Information

Element	Data
Patient Name	Russell Clint Richardson
Mother's Maiden Name	Billington
ID Number	3123
Date/Time of Birth	04/15/2015
Administrative Sex	Male
Patient Address	543 Blount Drive Bozeman MT 59715 USA
Local Number	(406)555-7690
Race	American Indian or Alaska Native
Ethnic Group	Not Hispanic or Latino
Birth Order	1

Immunization Registry Information

Element	Data
Immunization Registry Status	A
Immunization Registry Status Effective Date	04/15/2015
Publicity Code	Recall only - no calls
Publicity Code Effective Date	06/24/2015
Protection Indicator	No
Protection Indicator Effective Date	06/24/2015

Guardian or Responsible Party

Element	Data
Name	Maria Elizabeth Richardson
Relationship	Mother
Address	543 Blount Drive Bozeman MT 59715 USA
Phone Number	(406)555-7690

Guardian or Responsible Party

Element	Data
Name	John William Richardson
Relationship	Father
Address	543 Blount Drive Bozeman MT 59715 USA
Phone Number	(406)555-8299

Vaccine Administration Information

Element	Data
Administered Code	DTaP-Hep B-IPV
Date/Time Start of Administration	06/24/2015
Administered Amount	0.5
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	526434
Substance Expiration Date	07/22/2015
Substance Manufacturer Name	GlaxoSmithKline
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route	Intramuscular
Administration Site	Right Thigh
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Public
Vaccine Funding Program Eligibility	VFC Eligible - American Indian/Alaska Native
Document Type	Polio VIS
Date Vis Presented
Document Type	Hepatitis B VIS
Date Vis Presented
Document Type	Diphtheria/Tetanus/Pertussis (DTaP) VIS
Date Vis Presented

Vaccine Administration Information

Element	Data
Administered Code	rotavirus, pentavalent
Date/Time Start of Administration	06/24/2015
Administered Amount	2.0
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	297961
Substance Expiration Date	09/16/2015
Substance Manufacturer Name	Merck and Co., Inc.
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route	Oral
Administration Site
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Public
Vaccine Funding Program Eligibility	VFC Eligible - American Indian/Alaska Native
Document Type	Rotavirus VIS
Date Vis Presented

Vaccine Administration Information

Element	Data
Administered Code	Pneumococcal conjugate PCV 13
Date/Time Start of Administration	06/24/2015
Administered Amount	0.5
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	353480
Substance Expiration Date	07/29/2015
Substance Manufacturer Name	Pfizer, Inc
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route	Intramuscular
Administration Site	Left Thigh
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Public
Vaccine Funding Program Eligibility	VFC Eligible - American Indian/Alaska Native
Document Type	Pneumococcal Conjugate (PCV13) VIS
Date Vis Presented

Vaccine Administration Information

Element	Data
Administered Code	Hep B, unspecified formulation
Date/Time Start of Administration	04/16/2015
Administered Amount	999
Administered Units
Administration Notes	Historical Administration
Administering Provider
Substance Lot Number
Substance Expiration Date
Substance Manufacturer Name
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route
Administration Site
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By

Vaccine Administration Information

Element	Data
Administered Code	Hep B, unspecified formulation
Date/Time Start of Administration	05/15/2015
Administered Amount	999
Administered Units
Administration Notes	Historical Administration
Administering Provider
Substance Lot Number
Substance Expiration Date
Substance Manufacturer Name
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route
Administration Site
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By

1.1.2. Consume acknowledgement message

Tests the ability to consume a valid ACK message

Test Story

Description

The IIS returns a positive acknowledgement message indicating that no errors were found during the course of filing the message.

Comments

No Comments

PreCondition

A VXU message is generated by the EHR.

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

The acknowledgement message is consumed by the system responsible for the content of the administration message without error.

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	IIS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	wcEHR
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624073734.034-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	ACK
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	ACK
MSH-10	Message Control ID	23628
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z23
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	IIS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	wcEHR
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AA
MSA-2	Message Control ID	12462
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

1.2. TC-2

Adult administration

Test Story

Description

An adult is seen at a clinic. Historical vaccinations are recorded and new vaccines are administered and documented.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

This test case assesses the ability of the EHR to create an administration message for an adult containing historical and new administrations including VIS and not eligible VFC.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

1.2.1. Send administration message

Tests the ability to create a valid VXU^V04 message

Test Story

Description

A 32 year old female, Elise Wong, visits the West Clinic for a well woman visit. A clinic staff member collects basic patient demographic information including name, date of birth and sex. A clinic provider, Wilma Thomas (physician ID 654) reviews the patient’s vaccination history and determines that Elise has received her influenza vaccinations on 10/12/2014 and 11/12/2013, but is in need of a tetanus booster. Because of the patient’s age she does not qualify for Vaccine For Children (VFC) supplied vaccine. Elise is given the appropriate Vaccine Information Sheet (VIS) to review. After reading it, she agrees to receive the recommended vaccination. She also agrees that the data should be shared once it is incorporated into the local IIS. An appropriate dose of Tdap is selected from the clinic’s stock of privately funded vaccines. A clinician, Lily Jackson (ID 7824) prepares and administers the doses to the patient and then enters the data into the EHR and transmits it to the IIS.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	wcEHR
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	IIS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624084727.655-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	VXU
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	VXU_V04
MSH-10	Message Control ID	72268
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER
MSH-16	Application Acknowledgment Type	AL
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z22
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	wcEHR
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	IIS
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

PID : Patient Identification

Location	Data Elemenmt	Data	Categrization
PID-1	Set ID - PID	1
PID-2	Patient ID
PID-2.1	ID Number
PID-2.2	Check Digit
PID-2.3	Check Digit Scheme
PID-2.4	Assigning Authority
PID-2.4.1	Namespace ID
PID-2.4.2	Universal ID
PID-2.4.3	Universal ID Type
PID-2.5	Identifier Type Code
PID-2.6	Assigning Facility
PID-2.6.1	Namespace ID
PID-2.6.2	Universal ID
PID-2.6.3	Universal ID Type
PID-2.7	Effective Date
PID-2.8	Expiration Date
PID-2.9	Assigning Jurisdiction
PID-2.9.1	Identifier
PID-2.9.2	Text
PID-2.9.3	Name of Coding System
PID-2.9.4	Alternate Identifier
PID-2.9.5	Alternate Text
PID-2.9.6	Name of Alternate Coding System
PID-2.9.7	Coding System Version ID
PID-2.9.8	Alternate Coding System Version ID
PID-2.9.9	Original Text
PID-2.10	Assigning Agency or Department
PID-2.10.1	Identifier
PID-2.10.2	Text
PID-2.10.3	Name of Coding System
PID-2.10.4	Alternate Identifier
PID-2.10.5	Alternate Text
PID-2.10.6	Name of Alternate Coding System
PID-2.10.7	Coding System Version ID
PID-2.10.8	Alternate Coding System Version ID
PID-2.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	90012
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	wcEHR
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	MR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-4	Alternate Patient ID - PID
PID-4.1	ID Number
PID-4.2	Check Digit
PID-4.3	Check Digit Scheme
PID-4.4	Assigning Authority
PID-4.4.1	Namespace ID
PID-4.4.2	Universal ID
PID-4.4.3	Universal ID Type
PID-4.5	Identifier Type Code
PID-4.6	Assigning Facility
PID-4.6.1	Namespace ID
PID-4.6.2	Universal ID
PID-4.6.3	Universal ID Type
PID-4.7	Effective Date
PID-4.8	Expiration Date
PID-4.9	Assigning Jurisdiction
PID-4.9.1	Identifier
PID-4.9.2	Text
PID-4.9.3	Name of Coding System
PID-4.9.4	Alternate Identifier
PID-4.9.5	Alternate Text
PID-4.9.6	Name of Alternate Coding System
PID-4.9.7	Coding System Version ID
PID-4.9.8	Alternate Coding System Version ID
PID-4.9.9	Original Text
PID-4.10	Assigning Agency or Department
PID-4.10.1	Identifier
PID-4.10.2	Text
PID-4.10.3	Name of Coding System
PID-4.10.4	Alternate Identifier
PID-4.10.5	Alternate Text
PID-4.10.6	Name of Alternate Coding System
PID-4.10.7	Coding System Version ID
PID-4.10.8	Alternate Coding System Version ID
PID-4.10.9	Original Text
PID-5	Patient Name
PID-5.1	Family Name
PID-5.1.1	Surname	Wong
PID-5.1.2	Own Surname Prefix
PID-5.1.3	Own Surname
PID-5.1.4	Surname Prefix From Partner/Spouse
PID-5.1.5	Surname From Partner/Spouse
PID-5.2	Given Name	Elise
PID-5.3	Second and Further Given Names or Initials Thereof
PID-5.4	Suffix (e.g., JR or III)
PID-5.5	Prefix (e.g., DR)
PID-5.6	Degree (e.g., MD)
PID-5.7	Name Type Code	L
PID-5.8	Name Representation Code
PID-5.9	Name Context
PID-5.9.1	Identifier
PID-5.9.2	Text
PID-5.9.3	Name of Coding System
PID-5.9.4	Alternate Identifier
PID-5.9.5	Alternate Text
PID-5.9.6	Name of Alternate Coding System
PID-5.10	Name Validity Range
PID-5.10.1	Range Start Date/Time
PID-5.10.2	Range End Date/Time
PID-5.11	Name Assembly Order
PID-5.12	Effective Date
PID-5.12.1	Time
PID-5.12.2	Degree of Precision
PID-5.13	Expiration Date
PID-5.13.1	Time
PID-5.13.2	Degree of Precision
PID-5.14	Professional Suffix
PID-6	Mother's Maiden Name
PID-6.1	Family Name
PID-6.1.1	Surname
PID-6.1.2	Own Surname Prefix
PID-6.1.3	Own Surname
PID-6.1.4	Surname Prefix From Partner/Spouse
PID-6.1.5	Surname From Partner/Spouse
PID-6.2	Given Name
PID-6.3	Second and Further Given Names or Initials Thereof
PID-6.4	Suffix (e.g., JR or III)
PID-6.5	Prefix (e.g., DR)
PID-6.6	Degree (e.g., MD)
PID-6.7	Name Type Code
PID-6.8	Name Representation Code
PID-6.9	Name Context
PID-6.9.1	Identifier
PID-6.9.2	Text
PID-6.9.3	Name of Coding System
PID-6.9.4	Alternate Identifier
PID-6.9.5	Alternate Text
PID-6.9.6	Name of Alternate Coding System
PID-6.10	Name Validity Range
PID-6.10.1	Range Start Date/Time
PID-6.10.2	Range End Date/Time
PID-6.11	Name Assembly Order
PID-6.12	Effective Date
PID-6.12.1	Time
PID-6.12.2	Degree of Precision
PID-6.13	Expiration Date
PID-6.13.1	Time
PID-6.13.2	Degree of Precision
PID-6.14	Professional Suffix
PID-7	Date/Time of Birth
PID-7.1	Time	19830615
PID-7.2	Degree of Precision
PID-8	Administrative Sex	F
PID-9	Patient Alias
PID-9.1	Family Name
PID-9.1.1	Surname
PID-9.1.2	Own Surname Prefix
PID-9.1.3	Own Surname
PID-9.1.4	Surname Prefix From Partner/Spouse
PID-9.1.5	Surname From Partner/Spouse
PID-9.2	Given Name
PID-9.3	Second and Further Given Names or Initials Thereof
PID-9.4	Suffix (e.g., JR or III)
PID-9.5	Prefix (e.g., DR)
PID-9.6	Degree (e.g., MD)
PID-9.7	Name Type Code
PID-9.8	Name Representation Code
PID-9.9	Name Context
PID-9.9.1	Identifier
PID-9.9.2	Text
PID-9.9.3	Name of Coding System
PID-9.9.4	Alternate Identifier
PID-9.9.5	Alternate Text
PID-9.9.6	Name of Alternate Coding System
PID-9.10	Name Validity Range
PID-9.10.1	Range Start Date/Time
PID-9.10.2	Range End Date/Time
PID-9.11	Name Assembly Order
PID-9.12	Effective Date
PID-9.12.1	Time
PID-9.12.2	Degree of Precision
PID-9.13	Expiration Date
PID-9.13.1	Time
PID-9.13.2	Degree of Precision
PID-9.14	Professional Suffix
PID-10	Race
PID-10.1	Identifier	2028-9
PID-10.2	Text	Asian
PID-10.3	Name of Coding System	CDCREC
PID-10.4	Alternate Identifier
PID-10.5	Alternate Text
PID-10.6	Name of Alternate Coding System
PID-11	Patient Address
PID-11.1	Street Address
PID-11.1.1	Street or Mailing Address	9200 Wellington Trail
PID-11.1.2	Street Name
PID-11.1.3	Dwelling Number
PID-11.2	Other Designation
PID-11.3	City	Bozeman
PID-11.4	State or Province	MT
PID-11.5	Zip or Postal Code	59715
PID-11.6	Country	USA
PID-11.7	Address Type	P
PID-11.8	Other Geographic Designation
PID-11.9	County/Parish Code
PID-11.10	Census Tract
PID-11.11	Address Representation Code
PID-11.12	Address Validity Range
PID-11.12.1	Range Start Date/Time
PID-11.12.2	Range End Date/Time
PID-11.13	Effective Date
PID-11.13.1	Time
PID-11.13.2	Degree of Precision
PID-11.14	Expiration Date
PID-11.14.1	Time
PID-11.14.2	Degree of Precision
PID-12	County Code
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	PRN
PID-13.3	Telecommunication Equipment Type	PH
PID-13.4	Email Address
PID-13.5	Country Code
PID-13.6	Area/City Code	406
PID-13.7	Local Number	5557896
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	NET
PID-13.3	Telecommunication Equipment Type
PID-13.4	Email Address	Elise.Wong@isp.com
PID-13.5	Country Code
PID-13.6	Area/City Code
PID-13.7	Local Number
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-14	Phone Number - Business
PID-14.1	Telephone Number
PID-14.2	Telecommunication Use Code
PID-14.3	Telecommunication Equipment Type
PID-14.4	Email Address
PID-14.5	Country Code
PID-14.6	Area/City Code
PID-14.7	Local Number
PID-14.8	Extension
PID-14.9	Any Text
PID-14.10	Extension Prefix
PID-14.11	Speed Dial Code
PID-14.12	Unformatted Telephone number
PID-15	Primary Language
PID-15.1	Identifier
PID-15.2	Text
PID-15.3	Name of Coding System
PID-15.4	Alternate Identifier
PID-15.5	Alternate Text
PID-15.6	Name of Alternate Coding System
PID-16	Marital Status
PID-16.1	Identifier
PID-16.2	Text
PID-16.3	Name of Coding System
PID-16.4	Alternate Identifier
PID-16.5	Alternate Text
PID-16.6	Name of Alternate Coding System
PID-17	Religion
PID-17.1	Identifier
PID-17.2	Text
PID-17.3	Name of Coding System
PID-17.4	Alternate Identifier
PID-17.5	Alternate Text
PID-17.6	Name of Alternate Coding System
PID-18	Patient Account Number
PID-18.1	ID Number
PID-18.2	Check Digit
PID-18.3	Check Digit Scheme
PID-18.4	Assigning Authority
PID-18.4.1	Namespace ID
PID-18.4.2	Universal ID
PID-18.4.3	Universal ID Type
PID-18.5	Identifier Type Code
PID-18.6	Assigning Facility
PID-18.6.1	Namespace ID
PID-18.6.2	Universal ID
PID-18.6.3	Universal ID Type
PID-18.7	Effective Date
PID-18.8	Expiration Date
PID-18.9	Assigning Jurisdiction
PID-18.9.1	Identifier
PID-18.9.2	Text
PID-18.9.3	Name of Coding System
PID-18.9.4	Alternate Identifier
PID-18.9.5	Alternate Text
PID-18.9.6	Name of Alternate Coding System
PID-18.9.7	Coding System Version ID
PID-18.9.8	Alternate Coding System Version ID
PID-18.9.9	Original Text
PID-18.10	Assigning Agency or Department
PID-18.10.1	Identifier
PID-18.10.2	Text
PID-18.10.3	Name of Coding System
PID-18.10.4	Alternate Identifier
PID-18.10.5	Alternate Text
PID-18.10.6	Name of Alternate Coding System
PID-18.10.7	Coding System Version ID
PID-18.10.8	Alternate Coding System Version ID
PID-18.10.9	Original Text
PID-19	SSN Number - Patient
PID-20	Driver's License Number - Patient
PID-20.1	License Number
PID-20.2	Issuing State, Province, Country
PID-20.3	Expiration Date
PID-21	Mother's Identifier
PID-21.1	ID Number
PID-21.2	Check Digit
PID-21.3	Check Digit Scheme
PID-21.4	Assigning Authority
PID-21.4.1	Namespace ID
PID-21.4.2	Universal ID
PID-21.4.3	Universal ID Type
PID-21.5	Identifier Type Code
PID-21.6	Assigning Facility
PID-21.6.1	Namespace ID
PID-21.6.2	Universal ID
PID-21.6.3	Universal ID Type
PID-21.7	Effective Date
PID-21.8	Expiration Date
PID-21.9	Assigning Jurisdiction
PID-21.9.1	Identifier
PID-21.9.2	Text
PID-21.9.3	Name of Coding System
PID-21.9.4	Alternate Identifier
PID-21.9.5	Alternate Text
PID-21.9.6	Name of Alternate Coding System
PID-21.9.7	Coding System Version ID
PID-21.9.8	Alternate Coding System Version ID
PID-21.9.9	Original Text
PID-21.10	Assigning Agency or Department
PID-21.10.1	Identifier
PID-21.10.2	Text
PID-21.10.3	Name of Coding System
PID-21.10.4	Alternate Identifier
PID-21.10.5	Alternate Text
PID-21.10.6	Name of Alternate Coding System
PID-21.10.7	Coding System Version ID
PID-21.10.8	Alternate Coding System Version ID
PID-21.10.9	Original Text
PID-22	Ethnic Group
PID-22.1	Identifier	2186-5
PID-22.2	Text	Not Hispanic or Latino
PID-22.3	Name of Coding System	CDCREC
PID-22.4	Alternate Identifier
PID-22.5	Alternate Text
PID-22.6	Name of Alternate Coding System
PID-23	Birth Place
PID-24	Multiple Birth Indicator	N
PID-25	Birth Order	1
PID-26	Citizenship
PID-26.1	Identifier
PID-26.2	Text
PID-26.3	Name of Coding System
PID-26.4	Alternate Identifier
PID-26.5	Alternate Text
PID-26.6	Name of Alternate Coding System
PID-27	Veterans Military Status
PID-27.1	Identifier
PID-27.2	Text
PID-27.3	Name of Coding System
PID-27.4	Alternate Identifier
PID-27.5	Alternate Text
PID-27.6	Name of Alternate Coding System
PID-28	Nationality
PID-28.1	Identifier
PID-28.2	Text
PID-28.3	Name of Coding System
PID-28.4	Alternate Identifier
PID-28.5	Alternate Text
PID-28.6	Name of Alternate Coding System
PID-29	Patient Death Date and Time
PID-29.1	Time
PID-29.2	Degree of Precision
PID-30	Patient Death Indicator	N
PID-31	Identity Unknown Indicator
PID-32	Identity Reliability Code
PID-33	Last Update Date/Time
PID-33.1	Time
PID-33.2	Degree of Precision
PID-34	Last Update Facility
PID-34.1	Namespace ID
PID-34.2	Universal ID
PID-34.3	Universal ID Type
PID-35	Species Code
PID-35.1	Identifier
PID-35.2	Text
PID-35.3	Name of Coding System
PID-35.4	Alternate Identifier
PID-35.5	Alternate Text
PID-35.6	Name of Alternate Coding System
PID-36	Breed Code
PID-36.1	Identifier
PID-36.2	Text
PID-36.3	Name of Coding System
PID-36.4	Alternate Identifier
PID-36.5	Alternate Text
PID-36.6	Name of Alternate Coding System
PID-37	Strain
PID-38	Production Class Code
PID-38.1	Identifier
PID-38.2	Text
PID-38.3	Name of Coding System
PID-38.4	Alternate Identifier
PID-38.5	Alternate Text
PID-38.6	Name of Alternate Coding System
PID-39	Tribal Citizenship
PID-39.1	Identifier
PID-39.2	Text
PID-39.3	Name of Coding System
PID-39.4	Alternate Identifier
PID-39.5	Alternate Text
PID-39.6	Name of Alternate Coding System
PID-39.7	Coding System Version ID
PID-39.8	Alternate Coding System Version ID
PID-39.9	Original Text

PD1 : Patient Additional Demographic

Location	Data Elemenmt	Data	Categrization
PD1-1	Living Dependency
PD1-2	Living Arrangement
PD1-3	Patient Primary Facility
PD1-3.1	Organization Name
PD1-3.2	Organization Name Type Code
PD1-3.3	ID Number
PD1-3.4	Check Digit
PD1-3.5	Check Digit Scheme
PD1-3.6	Assigning Authority
PD1-3.6.1	Namespace ID
PD1-3.6.2	Universal ID
PD1-3.6.3	Universal ID Type
PD1-3.7	Identifier Type Code
PD1-3.8	Assigning Facility
PD1-3.8.1	Namespace ID
PD1-3.8.2	Universal ID
PD1-3.8.3	Universal ID Type
PD1-3.9	Name Representation Code
PD1-3.10	Organization Identifier
PD1-4	Patient Primary Care Provider Name & ID No.
PD1-4.1	ID Number
PD1-4.2	Family Name
PD1-4.2.1	Surname
PD1-4.2.2	Own Surname Prefix
PD1-4.2.3	Own Surname
PD1-4.2.4	Surname Prefix From Partner/Spouse
PD1-4.2.5	Surname From Partner/Spouse
PD1-4.3	Given Name
PD1-4.4	Second and Further Given Names or Initials Thereof
PD1-4.5	Suffix (e.g., JR or III)
PD1-4.6	Prefix (e.g., DR)
PD1-4.7	Degree (e.g., MD)
PD1-4.8	Source Table
PD1-4.9	Assigning Authority
PD1-4.9.1	Namespace ID
PD1-4.9.2	Universal ID
PD1-4.9.3	Universal ID Type
PD1-4.10	Name Type Code
PD1-4.11	Identifier Check Digit
PD1-4.12	Check Digit Scheme
PD1-4.13	Identifier Type Code
PD1-4.14	Assigning Facility
PD1-4.14.1	Namespace ID
PD1-4.14.2	Universal ID
PD1-4.14.3	Universal ID Type
PD1-4.15	Name Representation Code
PD1-4.16	Name Context
PD1-4.16.1	Identifier
PD1-4.16.2	Text
PD1-4.16.3	Name of Coding System
PD1-4.16.4	Alternate Identifier
PD1-4.16.5	Alternate Text
PD1-4.16.6	Name of Alternate Coding System
PD1-4.17	Name Validity Range
PD1-4.17.1	Range Start Date/Time
PD1-4.17.2	Range End Date/Time
PD1-4.18	Name Assembly Order
PD1-4.19	Effective Date
PD1-4.19.1	Time
PD1-4.19.2	Degree of Precision
PD1-4.20	Expiration Date
PD1-4.20.1	Time
PD1-4.20.2	Degree of Precision
PD1-4.21	Professional Suffix
PD1-4.22	Assigning Jurisdiction
PD1-4.22.1	Identifier
PD1-4.22.2	Text
PD1-4.22.3	Name of Coding System
PD1-4.22.4	Alternate Identifier
PD1-4.22.5	Alternate Text
PD1-4.22.6	Name of Alternate Coding System
PD1-4.22.7	Coding System Version ID
PD1-4.22.8	Alternate Coding System Version ID
PD1-4.22.9	Original Text
PD1-4.23	Assigning Agency or Department
PD1-4.23.1	Identifier
PD1-4.23.2	Text
PD1-4.23.3	Name of Coding System
PD1-4.23.4	Alternate Identifier
PD1-4.23.5	Alternate Text
PD1-4.23.6	Name of Alternate Coding System
PD1-4.23.7	Coding System Version ID
PD1-4.23.8	Alternate Coding System Version ID
PD1-4.23.9	Original Text
PD1-5	Student Indicator
PD1-6	Handicap
PD1-7	Living Will Code
PD1-8	Organ Donor Code
PD1-9	Separate Bill
PD1-10	Duplicate Patient
PD1-10.1	ID Number
PD1-10.2	Check Digit
PD1-10.3	Check Digit Scheme
PD1-10.4	Assigning Authority
PD1-10.4.1	Namespace ID
PD1-10.4.2	Universal ID
PD1-10.4.3	Universal ID Type
PD1-10.5	Identifier Type Code
PD1-10.6	Assigning Facility
PD1-10.6.1	Namespace ID
PD1-10.6.2	Universal ID
PD1-10.6.3	Universal ID Type
PD1-10.7	Effective Date
PD1-10.8	Expiration Date
PD1-10.9	Assigning Jurisdiction
PD1-10.9.1	Identifier
PD1-10.9.2	Text
PD1-10.9.3	Name of Coding System
PD1-10.9.4	Alternate Identifier
PD1-10.9.5	Alternate Text
PD1-10.9.6	Name of Alternate Coding System
PD1-10.9.7	Coding System Version ID
PD1-10.9.8	Alternate Coding System Version ID
PD1-10.9.9	Original Text
PD1-10.10	Assigning Agency or Department
PD1-10.10.1	Identifier
PD1-10.10.2	Text
PD1-10.10.3	Name of Coding System
PD1-10.10.4	Alternate Identifier
PD1-10.10.5	Alternate Text
PD1-10.10.6	Name of Alternate Coding System
PD1-10.10.7	Coding System Version ID
PD1-10.10.8	Alternate Coding System Version ID
PD1-10.10.9	Original Text
PD1-11	Publicity Code
PD1-11.1	Identifier	02
PD1-11.2	Text	Reminder/recall - any method
PD1-11.3	Name of Coding System	HL70215
PD1-11.4	Alternate Identifier
PD1-11.5	Alternate Text
PD1-11.6	Name of Alternate Coding System
PD1-12	Protection Indicator	N
PD1-13	Protection Indicator Effective Date	20150624
PD1-14	Place of Worship
PD1-14.1	Organization Name
PD1-14.2	Organization Name Type Code
PD1-14.3	ID Number
PD1-14.4	Check Digit
PD1-14.5	Check Digit Scheme
PD1-14.6	Assigning Authority
PD1-14.6.1	Namespace ID
PD1-14.6.2	Universal ID
PD1-14.6.3	Universal ID Type
PD1-14.7	Identifier Type Code
PD1-14.8	Assigning Facility
PD1-14.8.1	Namespace ID
PD1-14.8.2	Universal ID
PD1-14.8.3	Universal ID Type
PD1-14.9	Name Representation Code
PD1-14.10	Organization Identifier
PD1-15	Advance Directive Code
PD1-15.1	Identifier
PD1-15.2	Text
PD1-15.3	Name of Coding System
PD1-15.4	Alternate Identifier
PD1-15.5	Alternate Text
PD1-15.6	Name of Alternate Coding System
PD1-16	Immunization Registry Status	A
PD1-17	Immunization Registry Status Effective Date	19830615
PD1-18	Publicity Code Effective Date	20150624
PD1-19	Military Branch
PD1-20	Military Rank/Grade
PD1-21	Military Status

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	4422
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	13696
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150624
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	113
RXA-5.2	Text	Td (adult) preservative free
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	315841
RXA-16	Substance Expiration Date
RXA-16.1	Time	20151216
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	PMC
RXA-17.2	Text	Sanofi Pasteur
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	Intramuscular
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier	RD
RXR-2.2	Text	Right Deltoid
RXR-2.3	Name of Coding System	HL70163
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	PHC70
OBX-5.2	Text	Private
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V01
OBX-5.2	Text	Not VFC Eligible
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300028811150224
OBX-5.2	Text	Tetanus/Diphtheria (Td) VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150624
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	6139
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	38760
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20141012
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	88
RXA-5.2	Text	influenza, unspecified formulation
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	Historical Administration
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	7600
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	35508
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20131112
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	88
RXA-5.2	Text	influenza, unspecified formulation
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	Historical Administration
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

Test Data Specification

Patient Information

Element	Data
Patient Name	Elise Wong
Mother's Maiden Name
ID Number	90012
Date/Time of Birth	06/15/1983
Administrative Sex	Female
Patient Address	9200 Wellington Trail Bozeman MT 59715 USA
Local Number	(406)555-7896
Email	Elise.Wong@isp.com
Race	Asian
Ethnic Group	Not Hispanic or Latino
Birth Order	1

Immunization Registry Information

Element	Data
Immunization Registry Status	A
Immunization Registry Status Effective Date	06/15/1983
Publicity Code	Reminder/recall - any method
Publicity Code Effective Date	06/24/2015
Protection Indicator	No
Protection Indicator Effective Date	06/24/2015

Vaccine Administration Information

Element	Data
Administered Code	Td (adult) preservative free
Date/Time Start of Administration	06/24/2015
Administered Amount	0.5
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	315841
Substance Expiration Date	12/16/2015
Substance Manufacturer Name	Sanofi Pasteur
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route	Intramuscular
Administration Site	Right Deltoid
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Private
Vaccine Funding Program Eligibility	Not VFC Eligible
Document Type	Tetanus/Diphtheria (Td) VIS
Date Vis Presented

Vaccine Administration Information

Element	Data
Administered Code	influenza, unspecified formulation
Date/Time Start of Administration	10/12/2014
Administered Amount	999
Administered Units
Administration Notes	Historical Administration
Administering Provider
Substance Lot Number
Substance Expiration Date
Substance Manufacturer Name
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route
Administration Site
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By

Vaccine Administration Information

Element	Data
Administered Code	influenza, unspecified formulation
Date/Time Start of Administration	11/12/2013
Administered Amount	999
Administered Units
Administration Notes	Historical Administration
Administering Provider
Substance Lot Number
Substance Expiration Date
Substance Manufacturer Name
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route
Administration Site
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By

1.2.2. Consume acknowledgement message

Tests the ability to consume a valid ACK message

Test Story

Description

The IIS returns a positive acknowledgement message indicating that no errors were found during the course of filing the message.

Comments

No Comments

PreCondition

A VXU message is generated by the EHR.

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

The acknowledgement message is consumed by the system responsible for the content of the administration message without error.

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	IIS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	wcEHR
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624084727.669-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	ACK
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	ACK
MSH-10	Message Control ID	74602
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z23
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	IIS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	wcEHR
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AA
MSA-2	Message Control ID	72268
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

1.3. TC-3

Child administration without consent for sharing

Test Story

Description

A child is seen at a clinic. A new vaccine is administered and documented but the information is not to shared by the IIS.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

This test case assesses the ability of the EHR to create an administration message for a child containing a new administration but an indication that the data should not be shared.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

1.3.1. Send administration message

Tests the ability to create a valid VXU^V04 message

Test Story

Description

An 11.5 year old female, Katherine Mackenzie Benton, is brought to the West Clinic for a third and final dose of HPV vaccine. She is accompanied by her mother Kari Michelle Benton (nee Jones). A clinic staff member collects basic patient demographic information including name, date of birth and sex. The mother is given the appropriate Vaccine Information Sheet (VIS) to review. After reading it, the mother agrees that the child should receive the HPV vaccine, but she chooses not to share the data once it is incorporated into the local IIS. A clinic provider, Wilma Thomas (physician ID 654) places an order for the vaccination. While the patient is covered by insurance, the plan does not cover this vaccination and she qualifies for Vaccine For Children (VFC) supplied vaccines under the status of VFC eligible - Underinsured. An appropriate doses of HPV (Gardasil) is selected from the clinic?s stock of publically funded vaccines. A clinician, Lily Jackson (ID 7824) prepares and administers the dose to the patient and then enters the data into the EHR and transmits it to the IIS.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	wcEHR
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	IIS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624093847.804-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	VXU
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	VXU_V04
MSH-10	Message Control ID	77732
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER
MSH-16	Application Acknowledgment Type	AL
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z22
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	wcEHR
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	IIS
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

PID : Patient Identification

Location	Data Elemenmt	Data	Categrization
PID-1	Set ID - PID	1
PID-2	Patient ID
PID-2.1	ID Number
PID-2.2	Check Digit
PID-2.3	Check Digit Scheme
PID-2.4	Assigning Authority
PID-2.4.1	Namespace ID
PID-2.4.2	Universal ID
PID-2.4.3	Universal ID Type
PID-2.5	Identifier Type Code
PID-2.6	Assigning Facility
PID-2.6.1	Namespace ID
PID-2.6.2	Universal ID
PID-2.6.3	Universal ID Type
PID-2.7	Effective Date
PID-2.8	Expiration Date
PID-2.9	Assigning Jurisdiction
PID-2.9.1	Identifier
PID-2.9.2	Text
PID-2.9.3	Name of Coding System
PID-2.9.4	Alternate Identifier
PID-2.9.5	Alternate Text
PID-2.9.6	Name of Alternate Coding System
PID-2.9.7	Coding System Version ID
PID-2.9.8	Alternate Coding System Version ID
PID-2.9.9	Original Text
PID-2.10	Assigning Agency or Department
PID-2.10.1	Identifier
PID-2.10.2	Text
PID-2.10.3	Name of Coding System
PID-2.10.4	Alternate Identifier
PID-2.10.5	Alternate Text
PID-2.10.6	Name of Alternate Coding System
PID-2.10.7	Coding System Version ID
PID-2.10.8	Alternate Coding System Version ID
PID-2.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	89778
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	wcEHR
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	MR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-4	Alternate Patient ID - PID
PID-4.1	ID Number
PID-4.2	Check Digit
PID-4.3	Check Digit Scheme
PID-4.4	Assigning Authority
PID-4.4.1	Namespace ID
PID-4.4.2	Universal ID
PID-4.4.3	Universal ID Type
PID-4.5	Identifier Type Code
PID-4.6	Assigning Facility
PID-4.6.1	Namespace ID
PID-4.6.2	Universal ID
PID-4.6.3	Universal ID Type
PID-4.7	Effective Date
PID-4.8	Expiration Date
PID-4.9	Assigning Jurisdiction
PID-4.9.1	Identifier
PID-4.9.2	Text
PID-4.9.3	Name of Coding System
PID-4.9.4	Alternate Identifier
PID-4.9.5	Alternate Text
PID-4.9.6	Name of Alternate Coding System
PID-4.9.7	Coding System Version ID
PID-4.9.8	Alternate Coding System Version ID
PID-4.9.9	Original Text
PID-4.10	Assigning Agency or Department
PID-4.10.1	Identifier
PID-4.10.2	Text
PID-4.10.3	Name of Coding System
PID-4.10.4	Alternate Identifier
PID-4.10.5	Alternate Text
PID-4.10.6	Name of Alternate Coding System
PID-4.10.7	Coding System Version ID
PID-4.10.8	Alternate Coding System Version ID
PID-4.10.9	Original Text
PID-5	Patient Name
PID-5.1	Family Name
PID-5.1.1	Surname	Benton
PID-5.1.2	Own Surname Prefix
PID-5.1.3	Own Surname
PID-5.1.4	Surname Prefix From Partner/Spouse
PID-5.1.5	Surname From Partner/Spouse
PID-5.2	Given Name	Katherine
PID-5.3	Second and Further Given Names or Initials Thereof	Mackenzie
PID-5.4	Suffix (e.g., JR or III)
PID-5.5	Prefix (e.g., DR)
PID-5.6	Degree (e.g., MD)
PID-5.7	Name Type Code	L
PID-5.8	Name Representation Code
PID-5.9	Name Context
PID-5.9.1	Identifier
PID-5.9.2	Text
PID-5.9.3	Name of Coding System
PID-5.9.4	Alternate Identifier
PID-5.9.5	Alternate Text
PID-5.9.6	Name of Alternate Coding System
PID-5.10	Name Validity Range
PID-5.10.1	Range Start Date/Time
PID-5.10.2	Range End Date/Time
PID-5.11	Name Assembly Order
PID-5.12	Effective Date
PID-5.12.1	Time
PID-5.12.2	Degree of Precision
PID-5.13	Expiration Date
PID-5.13.1	Time
PID-5.13.2	Degree of Precision
PID-5.14	Professional Suffix
PID-6	Mother's Maiden Name
PID-6.1	Family Name
PID-6.1.1	Surname	Jones
PID-6.1.2	Own Surname Prefix
PID-6.1.3	Own Surname
PID-6.1.4	Surname Prefix From Partner/Spouse
PID-6.1.5	Surname From Partner/Spouse
PID-6.2	Given Name
PID-6.3	Second and Further Given Names or Initials Thereof
PID-6.4	Suffix (e.g., JR or III)
PID-6.5	Prefix (e.g., DR)
PID-6.6	Degree (e.g., MD)
PID-6.7	Name Type Code	M
PID-6.8	Name Representation Code
PID-6.9	Name Context
PID-6.9.1	Identifier
PID-6.9.2	Text
PID-6.9.3	Name of Coding System
PID-6.9.4	Alternate Identifier
PID-6.9.5	Alternate Text
PID-6.9.6	Name of Alternate Coding System
PID-6.10	Name Validity Range
PID-6.10.1	Range Start Date/Time
PID-6.10.2	Range End Date/Time
PID-6.11	Name Assembly Order
PID-6.12	Effective Date
PID-6.12.1	Time
PID-6.12.2	Degree of Precision
PID-6.13	Expiration Date
PID-6.13.1	Time
PID-6.13.2	Degree of Precision
PID-6.14	Professional Suffix
PID-7	Date/Time of Birth
PID-7.1	Time	20031221
PID-7.2	Degree of Precision
PID-8	Administrative Sex	F
PID-9	Patient Alias
PID-9.1	Family Name
PID-9.1.1	Surname
PID-9.1.2	Own Surname Prefix
PID-9.1.3	Own Surname
PID-9.1.4	Surname Prefix From Partner/Spouse
PID-9.1.5	Surname From Partner/Spouse
PID-9.2	Given Name
PID-9.3	Second and Further Given Names or Initials Thereof
PID-9.4	Suffix (e.g., JR or III)
PID-9.5	Prefix (e.g., DR)
PID-9.6	Degree (e.g., MD)
PID-9.7	Name Type Code
PID-9.8	Name Representation Code
PID-9.9	Name Context
PID-9.9.1	Identifier
PID-9.9.2	Text
PID-9.9.3	Name of Coding System
PID-9.9.4	Alternate Identifier
PID-9.9.5	Alternate Text
PID-9.9.6	Name of Alternate Coding System
PID-9.10	Name Validity Range
PID-9.10.1	Range Start Date/Time
PID-9.10.2	Range End Date/Time
PID-9.11	Name Assembly Order
PID-9.12	Effective Date
PID-9.12.1	Time
PID-9.12.2	Degree of Precision
PID-9.13	Expiration Date
PID-9.13.1	Time
PID-9.13.2	Degree of Precision
PID-9.14	Professional Suffix
PID-10	Race
PID-10.1	Identifier	2106-3
PID-10.2	Text	White
PID-10.3	Name of Coding System	CDCREC
PID-10.4	Alternate Identifier
PID-10.5	Alternate Text
PID-10.6	Name of Alternate Coding System
PID-11	Patient Address
PID-11.1	Street Address
PID-11.1.1	Street or Mailing Address	89 West 21st Ave
PID-11.1.2	Street Name
PID-11.1.3	Dwelling Number
PID-11.2	Other Designation
PID-11.3	City	Bozeman
PID-11.4	State or Province	MT
PID-11.5	Zip or Postal Code	59715
PID-11.6	Country	USA
PID-11.7	Address Type	P
PID-11.8	Other Geographic Designation
PID-11.9	County/Parish Code
PID-11.10	Census Tract
PID-11.11	Address Representation Code
PID-11.12	Address Validity Range
PID-11.12.1	Range Start Date/Time
PID-11.12.2	Range End Date/Time
PID-11.13	Effective Date
PID-11.13.1	Time
PID-11.13.2	Degree of Precision
PID-11.14	Expiration Date
PID-11.14.1	Time
PID-11.14.2	Degree of Precision
PID-12	County Code
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	PRN
PID-13.3	Telecommunication Equipment Type	PH
PID-13.4	Email Address
PID-13.5	Country Code
PID-13.6	Area/City Code	406
PID-13.7	Local Number	5554019
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-14	Phone Number - Business
PID-14.1	Telephone Number
PID-14.2	Telecommunication Use Code
PID-14.3	Telecommunication Equipment Type
PID-14.4	Email Address
PID-14.5	Country Code
PID-14.6	Area/City Code
PID-14.7	Local Number
PID-14.8	Extension
PID-14.9	Any Text
PID-14.10	Extension Prefix
PID-14.11	Speed Dial Code
PID-14.12	Unformatted Telephone number
PID-15	Primary Language
PID-15.1	Identifier
PID-15.2	Text
PID-15.3	Name of Coding System
PID-15.4	Alternate Identifier
PID-15.5	Alternate Text
PID-15.6	Name of Alternate Coding System
PID-16	Marital Status
PID-16.1	Identifier
PID-16.2	Text
PID-16.3	Name of Coding System
PID-16.4	Alternate Identifier
PID-16.5	Alternate Text
PID-16.6	Name of Alternate Coding System
PID-17	Religion
PID-17.1	Identifier
PID-17.2	Text
PID-17.3	Name of Coding System
PID-17.4	Alternate Identifier
PID-17.5	Alternate Text
PID-17.6	Name of Alternate Coding System
PID-18	Patient Account Number
PID-18.1	ID Number
PID-18.2	Check Digit
PID-18.3	Check Digit Scheme
PID-18.4	Assigning Authority
PID-18.4.1	Namespace ID
PID-18.4.2	Universal ID
PID-18.4.3	Universal ID Type
PID-18.5	Identifier Type Code
PID-18.6	Assigning Facility
PID-18.6.1	Namespace ID
PID-18.6.2	Universal ID
PID-18.6.3	Universal ID Type
PID-18.7	Effective Date
PID-18.8	Expiration Date
PID-18.9	Assigning Jurisdiction
PID-18.9.1	Identifier
PID-18.9.2	Text
PID-18.9.3	Name of Coding System
PID-18.9.4	Alternate Identifier
PID-18.9.5	Alternate Text
PID-18.9.6	Name of Alternate Coding System
PID-18.9.7	Coding System Version ID
PID-18.9.8	Alternate Coding System Version ID
PID-18.9.9	Original Text
PID-18.10	Assigning Agency or Department
PID-18.10.1	Identifier
PID-18.10.2	Text
PID-18.10.3	Name of Coding System
PID-18.10.4	Alternate Identifier
PID-18.10.5	Alternate Text
PID-18.10.6	Name of Alternate Coding System
PID-18.10.7	Coding System Version ID
PID-18.10.8	Alternate Coding System Version ID
PID-18.10.9	Original Text
PID-19	SSN Number - Patient
PID-20	Driver's License Number - Patient
PID-20.1	License Number
PID-20.2	Issuing State, Province, Country
PID-20.3	Expiration Date
PID-21	Mother's Identifier
PID-21.1	ID Number
PID-21.2	Check Digit
PID-21.3	Check Digit Scheme
PID-21.4	Assigning Authority
PID-21.4.1	Namespace ID
PID-21.4.2	Universal ID
PID-21.4.3	Universal ID Type
PID-21.5	Identifier Type Code
PID-21.6	Assigning Facility
PID-21.6.1	Namespace ID
PID-21.6.2	Universal ID
PID-21.6.3	Universal ID Type
PID-21.7	Effective Date
PID-21.8	Expiration Date
PID-21.9	Assigning Jurisdiction
PID-21.9.1	Identifier
PID-21.9.2	Text
PID-21.9.3	Name of Coding System
PID-21.9.4	Alternate Identifier
PID-21.9.5	Alternate Text
PID-21.9.6	Name of Alternate Coding System
PID-21.9.7	Coding System Version ID
PID-21.9.8	Alternate Coding System Version ID
PID-21.9.9	Original Text
PID-21.10	Assigning Agency or Department
PID-21.10.1	Identifier
PID-21.10.2	Text
PID-21.10.3	Name of Coding System
PID-21.10.4	Alternate Identifier
PID-21.10.5	Alternate Text
PID-21.10.6	Name of Alternate Coding System
PID-21.10.7	Coding System Version ID
PID-21.10.8	Alternate Coding System Version ID
PID-21.10.9	Original Text
PID-22	Ethnic Group
PID-22.1	Identifier	2186-5
PID-22.2	Text	Not Hispanic or Latino
PID-22.3	Name of Coding System	CDCREC
PID-22.4	Alternate Identifier
PID-22.5	Alternate Text
PID-22.6	Name of Alternate Coding System
PID-23	Birth Place
PID-24	Multiple Birth Indicator	N
PID-25	Birth Order	1
PID-26	Citizenship
PID-26.1	Identifier
PID-26.2	Text
PID-26.3	Name of Coding System
PID-26.4	Alternate Identifier
PID-26.5	Alternate Text
PID-26.6	Name of Alternate Coding System
PID-27	Veterans Military Status
PID-27.1	Identifier
PID-27.2	Text
PID-27.3	Name of Coding System
PID-27.4	Alternate Identifier
PID-27.5	Alternate Text
PID-27.6	Name of Alternate Coding System
PID-28	Nationality
PID-28.1	Identifier
PID-28.2	Text
PID-28.3	Name of Coding System
PID-28.4	Alternate Identifier
PID-28.5	Alternate Text
PID-28.6	Name of Alternate Coding System
PID-29	Patient Death Date and Time
PID-29.1	Time
PID-29.2	Degree of Precision
PID-30	Patient Death Indicator	N
PID-31	Identity Unknown Indicator
PID-32	Identity Reliability Code
PID-33	Last Update Date/Time
PID-33.1	Time
PID-33.2	Degree of Precision
PID-34	Last Update Facility
PID-34.1	Namespace ID
PID-34.2	Universal ID
PID-34.3	Universal ID Type
PID-35	Species Code
PID-35.1	Identifier
PID-35.2	Text
PID-35.3	Name of Coding System
PID-35.4	Alternate Identifier
PID-35.5	Alternate Text
PID-35.6	Name of Alternate Coding System
PID-36	Breed Code
PID-36.1	Identifier
PID-36.2	Text
PID-36.3	Name of Coding System
PID-36.4	Alternate Identifier
PID-36.5	Alternate Text
PID-36.6	Name of Alternate Coding System
PID-37	Strain
PID-38	Production Class Code
PID-38.1	Identifier
PID-38.2	Text
PID-38.3	Name of Coding System
PID-38.4	Alternate Identifier
PID-38.5	Alternate Text
PID-38.6	Name of Alternate Coding System
PID-39	Tribal Citizenship
PID-39.1	Identifier
PID-39.2	Text
PID-39.3	Name of Coding System
PID-39.4	Alternate Identifier
PID-39.5	Alternate Text
PID-39.6	Name of Alternate Coding System
PID-39.7	Coding System Version ID
PID-39.8	Alternate Coding System Version ID
PID-39.9	Original Text

PD1 : Patient Additional Demographic

Location	Data Elemenmt	Data	Categrization
PD1-1	Living Dependency
PD1-2	Living Arrangement
PD1-3	Patient Primary Facility
PD1-3.1	Organization Name
PD1-3.2	Organization Name Type Code
PD1-3.3	ID Number
PD1-3.4	Check Digit
PD1-3.5	Check Digit Scheme
PD1-3.6	Assigning Authority
PD1-3.6.1	Namespace ID
PD1-3.6.2	Universal ID
PD1-3.6.3	Universal ID Type
PD1-3.7	Identifier Type Code
PD1-3.8	Assigning Facility
PD1-3.8.1	Namespace ID
PD1-3.8.2	Universal ID
PD1-3.8.3	Universal ID Type
PD1-3.9	Name Representation Code
PD1-3.10	Organization Identifier
PD1-4	Patient Primary Care Provider Name & ID No.
PD1-4.1	ID Number
PD1-4.2	Family Name
PD1-4.2.1	Surname
PD1-4.2.2	Own Surname Prefix
PD1-4.2.3	Own Surname
PD1-4.2.4	Surname Prefix From Partner/Spouse
PD1-4.2.5	Surname From Partner/Spouse
PD1-4.3	Given Name
PD1-4.4	Second and Further Given Names or Initials Thereof
PD1-4.5	Suffix (e.g., JR or III)
PD1-4.6	Prefix (e.g., DR)
PD1-4.7	Degree (e.g., MD)
PD1-4.8	Source Table
PD1-4.9	Assigning Authority
PD1-4.9.1	Namespace ID
PD1-4.9.2	Universal ID
PD1-4.9.3	Universal ID Type
PD1-4.10	Name Type Code
PD1-4.11	Identifier Check Digit
PD1-4.12	Check Digit Scheme
PD1-4.13	Identifier Type Code
PD1-4.14	Assigning Facility
PD1-4.14.1	Namespace ID
PD1-4.14.2	Universal ID
PD1-4.14.3	Universal ID Type
PD1-4.15	Name Representation Code
PD1-4.16	Name Context
PD1-4.16.1	Identifier
PD1-4.16.2	Text
PD1-4.16.3	Name of Coding System
PD1-4.16.4	Alternate Identifier
PD1-4.16.5	Alternate Text
PD1-4.16.6	Name of Alternate Coding System
PD1-4.17	Name Validity Range
PD1-4.17.1	Range Start Date/Time
PD1-4.17.2	Range End Date/Time
PD1-4.18	Name Assembly Order
PD1-4.19	Effective Date
PD1-4.19.1	Time
PD1-4.19.2	Degree of Precision
PD1-4.20	Expiration Date
PD1-4.20.1	Time
PD1-4.20.2	Degree of Precision
PD1-4.21	Professional Suffix
PD1-4.22	Assigning Jurisdiction
PD1-4.22.1	Identifier
PD1-4.22.2	Text
PD1-4.22.3	Name of Coding System
PD1-4.22.4	Alternate Identifier
PD1-4.22.5	Alternate Text
PD1-4.22.6	Name of Alternate Coding System
PD1-4.22.7	Coding System Version ID
PD1-4.22.8	Alternate Coding System Version ID
PD1-4.22.9	Original Text
PD1-4.23	Assigning Agency or Department
PD1-4.23.1	Identifier
PD1-4.23.2	Text
PD1-4.23.3	Name of Coding System
PD1-4.23.4	Alternate Identifier
PD1-4.23.5	Alternate Text
PD1-4.23.6	Name of Alternate Coding System
PD1-4.23.7	Coding System Version ID
PD1-4.23.8	Alternate Coding System Version ID
PD1-4.23.9	Original Text
PD1-5	Student Indicator
PD1-6	Handicap
PD1-7	Living Will Code
PD1-8	Organ Donor Code
PD1-9	Separate Bill
PD1-10	Duplicate Patient
PD1-10.1	ID Number
PD1-10.2	Check Digit
PD1-10.3	Check Digit Scheme
PD1-10.4	Assigning Authority
PD1-10.4.1	Namespace ID
PD1-10.4.2	Universal ID
PD1-10.4.3	Universal ID Type
PD1-10.5	Identifier Type Code
PD1-10.6	Assigning Facility
PD1-10.6.1	Namespace ID
PD1-10.6.2	Universal ID
PD1-10.6.3	Universal ID Type
PD1-10.7	Effective Date
PD1-10.8	Expiration Date
PD1-10.9	Assigning Jurisdiction
PD1-10.9.1	Identifier
PD1-10.9.2	Text
PD1-10.9.3	Name of Coding System
PD1-10.9.4	Alternate Identifier
PD1-10.9.5	Alternate Text
PD1-10.9.6	Name of Alternate Coding System
PD1-10.9.7	Coding System Version ID
PD1-10.9.8	Alternate Coding System Version ID
PD1-10.9.9	Original Text
PD1-10.10	Assigning Agency or Department
PD1-10.10.1	Identifier
PD1-10.10.2	Text
PD1-10.10.3	Name of Coding System
PD1-10.10.4	Alternate Identifier
PD1-10.10.5	Alternate Text
PD1-10.10.6	Name of Alternate Coding System
PD1-10.10.7	Coding System Version ID
PD1-10.10.8	Alternate Coding System Version ID
PD1-10.10.9	Original Text
PD1-11	Publicity Code
PD1-11.1	Identifier	01
PD1-11.2	Text	No reminder/recall
PD1-11.3	Name of Coding System	HL70215
PD1-11.4	Alternate Identifier
PD1-11.5	Alternate Text
PD1-11.6	Name of Alternate Coding System
PD1-12	Protection Indicator	Y
PD1-13	Protection Indicator Effective Date	20150624
PD1-14	Place of Worship
PD1-14.1	Organization Name
PD1-14.2	Organization Name Type Code
PD1-14.3	ID Number
PD1-14.4	Check Digit
PD1-14.5	Check Digit Scheme
PD1-14.6	Assigning Authority
PD1-14.6.1	Namespace ID
PD1-14.6.2	Universal ID
PD1-14.6.3	Universal ID Type
PD1-14.7	Identifier Type Code
PD1-14.8	Assigning Facility
PD1-14.8.1	Namespace ID
PD1-14.8.2	Universal ID
PD1-14.8.3	Universal ID Type
PD1-14.9	Name Representation Code
PD1-14.10	Organization Identifier
PD1-15	Advance Directive Code
PD1-15.1	Identifier
PD1-15.2	Text
PD1-15.3	Name of Coding System
PD1-15.4	Alternate Identifier
PD1-15.5	Alternate Text
PD1-15.6	Name of Alternate Coding System
PD1-16	Immunization Registry Status	A
PD1-17	Immunization Registry Status Effective Date	20031221
PD1-18	Publicity Code Effective Date	20150624
PD1-19	Military Branch
PD1-20	Military Rank/Grade
PD1-21	Military Status

NK1 : Next of Kin / Associated Parties

Location	Data Elemenmt	Data	Categrization
NK1-1	Set ID - NK1	1
NK1-2	Name
NK1-2.1	Family Name
NK1-2.1.1	Surname	Benton
NK1-2.1.2	Own Surname Prefix
NK1-2.1.3	Own Surname
NK1-2.1.4	Surname Prefix From Partner/Spouse
NK1-2.1.5	Surname From Partner/Spouse
NK1-2.2	Given Name	Kari
NK1-2.3	Second and Further Given Names or Initials Thereof	Michelle
NK1-2.4	Suffix (e.g., JR or III)
NK1-2.5	Prefix (e.g., DR)
NK1-2.6	Degree (e.g., MD)
NK1-2.7	Name Type Code	L
NK1-2.8	Name Representation Code
NK1-2.9	Name Context
NK1-2.9.1	Identifier
NK1-2.9.2	Text
NK1-2.9.3	Name of Coding System
NK1-2.9.4	Alternate Identifier
NK1-2.9.5	Alternate Text
NK1-2.9.6	Name of Alternate Coding System
NK1-2.10	Name Validity Range
NK1-2.10.1	Range Start Date/Time
NK1-2.10.2	Range End Date/Time
NK1-2.11	Name Assembly Order
NK1-2.12	Effective Date
NK1-2.12.1	Time
NK1-2.12.2	Degree of Precision
NK1-2.13	Expiration Date
NK1-2.13.1	Time
NK1-2.13.2	Degree of Precision
NK1-2.14	Professional Suffix
NK1-3	Relationship
NK1-3.1	Identifier	MTH
NK1-3.2	Text	Mother
NK1-3.3	Name of Coding System	HL70063
NK1-3.4	Alternate Identifier
NK1-3.5	Alternate Text
NK1-3.6	Name of Alternate Coding System
NK1-4	Address
NK1-4.1	Street Address
NK1-4.1.1	Street or Mailing Address	89 West 21st Ave
NK1-4.1.2	Street Name
NK1-4.1.3	Dwelling Number
NK1-4.2	Other Designation
NK1-4.3	City	Bozeman
NK1-4.4	State or Province	MT
NK1-4.5	Zip or Postal Code	59715
NK1-4.6	Country	USA
NK1-4.7	Address Type	P
NK1-4.8	Other Geographic Designation
NK1-4.9	County/Parish Code
NK1-4.10	Census Tract
NK1-4.11	Address Representation Code
NK1-4.12	Address Validity Range
NK1-4.12.1	Range Start Date/Time
NK1-4.12.2	Range End Date/Time
NK1-4.13	Effective Date
NK1-4.13.1	Time
NK1-4.13.2	Degree of Precision
NK1-4.14	Expiration Date
NK1-4.14.1	Time
NK1-4.14.2	Degree of Precision
NK1-5	Phone Number
NK1-5.1	Telephone Number
NK1-5.2	Telecommunication Use Code	PRN
NK1-5.3	Telecommunication Equipment Type	PH
NK1-5.4	Email Address
NK1-5.5	Country Code
NK1-5.6	Area/City Code	406
NK1-5.7	Local Number	5554019
NK1-5.8	Extension
NK1-5.9	Any Text
NK1-5.10	Extension Prefix
NK1-5.11	Speed Dial Code
NK1-5.12	Unformatted Telephone number
NK1-6	Business Phone Number
NK1-6.1	Telephone Number
NK1-6.2	Telecommunication Use Code
NK1-6.3	Telecommunication Equipment Type
NK1-6.4	Email Address
NK1-6.5	Country Code
NK1-6.6	Area/City Code
NK1-6.7	Local Number
NK1-6.8	Extension
NK1-6.9	Any Text
NK1-6.10	Extension Prefix
NK1-6.11	Speed Dial Code
NK1-6.12	Unformatted Telephone number
NK1-7	Contact Role
NK1-7.1	Identifier
NK1-7.2	Text
NK1-7.3	Name of Coding System
NK1-7.4	Alternate Identifier
NK1-7.5	Alternate Text
NK1-7.6	Name of Alternate Coding System
NK1-8	Start Date
NK1-9	End Date
NK1-10	Next of Kin / Associated Parties Job Title
NK1-11	Next of Kin / Associated Parties Job Code/Class
NK1-11.1	Job Code
NK1-11.2	Job Class
NK1-11.3	Job Description Text
NK1-12	Next of Kin / Associated Parties Employee Number
NK1-12.1	ID Number
NK1-12.2	Check Digit
NK1-12.3	Check Digit Scheme
NK1-12.4	Assigning Authority
NK1-12.4.1	Namespace ID
NK1-12.4.2	Universal ID
NK1-12.4.3	Universal ID Type
NK1-12.5	Identifier Type Code
NK1-12.6	Assigning Facility
NK1-12.6.1	Namespace ID
NK1-12.6.2	Universal ID
NK1-12.6.3	Universal ID Type
NK1-12.7	Effective Date
NK1-12.8	Expiration Date
NK1-12.9	Assigning Jurisdiction
NK1-12.9.1	Identifier
NK1-12.9.2	Text
NK1-12.9.3	Name of Coding System
NK1-12.9.4	Alternate Identifier
NK1-12.9.5	Alternate Text
NK1-12.9.6	Name of Alternate Coding System
NK1-12.9.7	Coding System Version ID
NK1-12.9.8	Alternate Coding System Version ID
NK1-12.9.9	Original Text
NK1-12.10	Assigning Agency or Department
NK1-12.10.1	Identifier
NK1-12.10.2	Text
NK1-12.10.3	Name of Coding System
NK1-12.10.4	Alternate Identifier
NK1-12.10.5	Alternate Text
NK1-12.10.6	Name of Alternate Coding System
NK1-12.10.7	Coding System Version ID
NK1-12.10.8	Alternate Coding System Version ID
NK1-12.10.9	Original Text
NK1-13	Organization Name - NK1
NK1-13.1	Organization Name
NK1-13.2	Organization Name Type Code
NK1-13.3	ID Number
NK1-13.4	Check Digit
NK1-13.5	Check Digit Scheme
NK1-13.6	Assigning Authority
NK1-13.6.1	Namespace ID
NK1-13.6.2	Universal ID
NK1-13.6.3	Universal ID Type
NK1-13.7	Identifier Type Code
NK1-13.8	Assigning Facility
NK1-13.8.1	Namespace ID
NK1-13.8.2	Universal ID
NK1-13.8.3	Universal ID Type
NK1-13.9	Name Representation Code
NK1-13.10	Organization Identifier
NK1-14	Marital Status
NK1-14.1	Identifier
NK1-14.2	Text
NK1-14.3	Name of Coding System
NK1-14.4	Alternate Identifier
NK1-14.5	Alternate Text
NK1-14.6	Name of Alternate Coding System
NK1-15	Administrative Sex
NK1-16	Date/Time of Birth
NK1-16.1	Time
NK1-16.2	Degree of Precision
NK1-17	Living Dependency
NK1-18	Ambulatory Status
NK1-19	Citizenship
NK1-19.1	Identifier
NK1-19.2	Text
NK1-19.3	Name of Coding System
NK1-19.4	Alternate Identifier
NK1-19.5	Alternate Text
NK1-19.6	Name of Alternate Coding System
NK1-20	Primary Language
NK1-20.1	Identifier
NK1-20.2	Text
NK1-20.3	Name of Coding System
NK1-20.4	Alternate Identifier
NK1-20.5	Alternate Text
NK1-20.6	Name of Alternate Coding System
NK1-21	Living Arrangement
NK1-22	Publicity Code
NK1-22.1	Identifier
NK1-22.2	Text
NK1-22.3	Name of Coding System
NK1-22.4	Alternate Identifier
NK1-22.5	Alternate Text
NK1-22.6	Name of Alternate Coding System
NK1-23	Protection Indicator
NK1-24	Student Indicator
NK1-25	Religion
NK1-25.1	Identifier
NK1-25.2	Text
NK1-25.3	Name of Coding System
NK1-25.4	Alternate Identifier
NK1-25.5	Alternate Text
NK1-25.6	Name of Alternate Coding System
NK1-26	Mother's Maiden Name
NK1-26.1	Family Name
NK1-26.1.1	Surname
NK1-26.1.2	Own Surname Prefix
NK1-26.1.3	Own Surname
NK1-26.1.4	Surname Prefix From Partner/Spouse
NK1-26.1.5	Surname From Partner/Spouse
NK1-26.2	Given Name
NK1-26.3	Second and Further Given Names or Initials Thereof
NK1-26.4	Suffix (e.g., JR or III)
NK1-26.5	Prefix (e.g., DR)
NK1-26.6	Degree (e.g., MD)
NK1-26.7	Name Type Code
NK1-26.8	Name Representation Code
NK1-26.9	Name Context
NK1-26.9.1	Identifier
NK1-26.9.2	Text
NK1-26.9.3	Name of Coding System
NK1-26.9.4	Alternate Identifier
NK1-26.9.5	Alternate Text
NK1-26.9.6	Name of Alternate Coding System
NK1-26.10	Name Validity Range
NK1-26.10.1	Range Start Date/Time
NK1-26.10.2	Range End Date/Time
NK1-26.11	Name Assembly Order
NK1-26.12	Effective Date
NK1-26.12.1	Time
NK1-26.12.2	Degree of Precision
NK1-26.13	Expiration Date
NK1-26.13.1	Time
NK1-26.13.2	Degree of Precision
NK1-26.14	Professional Suffix
NK1-27	Nationality
NK1-27.1	Identifier
NK1-27.2	Text
NK1-27.3	Name of Coding System
NK1-27.4	Alternate Identifier
NK1-27.5	Alternate Text
NK1-27.6	Name of Alternate Coding System
NK1-28	Ethnic Group
NK1-28.1	Identifier
NK1-28.2	Text
NK1-28.3	Name of Coding System
NK1-28.4	Alternate Identifier
NK1-28.5	Alternate Text
NK1-28.6	Name of Alternate Coding System
NK1-29	Contact Reason
NK1-29.1	Identifier
NK1-29.2	Text
NK1-29.3	Name of Coding System
NK1-29.4	Alternate Identifier
NK1-29.5	Alternate Text
NK1-29.6	Name of Alternate Coding System
NK1-30	Contact Person's Name
NK1-30.1	Family Name
NK1-30.1.1	Surname
NK1-30.1.2	Own Surname Prefix
NK1-30.1.3	Own Surname
NK1-30.1.4	Surname Prefix From Partner/Spouse
NK1-30.1.5	Surname From Partner/Spouse
NK1-30.2	Given Name
NK1-30.3	Second and Further Given Names or Initials Thereof
NK1-30.4	Suffix (e.g., JR or III)
NK1-30.5	Prefix (e.g., DR)
NK1-30.6	Degree (e.g., MD)
NK1-30.7	Name Type Code
NK1-30.8	Name Representation Code
NK1-30.9	Name Context
NK1-30.9.1	Identifier
NK1-30.9.2	Text
NK1-30.9.3	Name of Coding System
NK1-30.9.4	Alternate Identifier
NK1-30.9.5	Alternate Text
NK1-30.9.6	Name of Alternate Coding System
NK1-30.10	Name Validity Range
NK1-30.10.1	Range Start Date/Time
NK1-30.10.2	Range End Date/Time
NK1-30.11	Name Assembly Order
NK1-30.12	Effective Date
NK1-30.12.1	Time
NK1-30.12.2	Degree of Precision
NK1-30.13	Expiration Date
NK1-30.13.1	Time
NK1-30.13.2	Degree of Precision
NK1-30.14	Professional Suffix
NK1-31	Contact Person's Telephone Number
NK1-31.1	Telephone Number
NK1-31.2	Telecommunication Use Code
NK1-31.3	Telecommunication Equipment Type
NK1-31.4	Email Address
NK1-31.5	Country Code
NK1-31.6	Area/City Code
NK1-31.7	Local Number
NK1-31.8	Extension
NK1-31.9	Any Text
NK1-31.10	Extension Prefix
NK1-31.11	Speed Dial Code
NK1-31.12	Unformatted Telephone number
NK1-32	Contact Person's Address
NK1-32.1	Street Address
NK1-32.1.1	Street or Mailing Address
NK1-32.1.2	Street Name
NK1-32.1.3	Dwelling Number
NK1-32.2	Other Designation
NK1-32.3	City
NK1-32.4	State or Province
NK1-32.5	Zip or Postal Code
NK1-32.6	Country
NK1-32.7	Address Type
NK1-32.8	Other Geographic Designation
NK1-32.9	County/Parish Code
NK1-32.10	Census Tract
NK1-32.11	Address Representation Code
NK1-32.12	Address Validity Range
NK1-32.12.1	Range Start Date/Time
NK1-32.12.2	Range End Date/Time
NK1-32.13	Effective Date
NK1-32.13.1	Time
NK1-32.13.2	Degree of Precision
NK1-32.14	Expiration Date
NK1-32.14.1	Time
NK1-32.14.2	Degree of Precision
NK1-33	Next of Kin/Associated Party's Identifiers
NK1-33.1	ID Number
NK1-33.2	Check Digit
NK1-33.3	Check Digit Scheme
NK1-33.4	Assigning Authority
NK1-33.4.1	Namespace ID
NK1-33.4.2	Universal ID
NK1-33.4.3	Universal ID Type
NK1-33.5	Identifier Type Code
NK1-33.6	Assigning Facility
NK1-33.6.1	Namespace ID
NK1-33.6.2	Universal ID
NK1-33.6.3	Universal ID Type
NK1-33.7	Effective Date
NK1-33.8	Expiration Date
NK1-33.9	Assigning Jurisdiction
NK1-33.9.1	Identifier
NK1-33.9.2	Text
NK1-33.9.3	Name of Coding System
NK1-33.9.4	Alternate Identifier
NK1-33.9.5	Alternate Text
NK1-33.9.6	Name of Alternate Coding System
NK1-33.9.7	Coding System Version ID
NK1-33.9.8	Alternate Coding System Version ID
NK1-33.9.9	Original Text
NK1-33.10	Assigning Agency or Department
NK1-33.10.1	Identifier
NK1-33.10.2	Text
NK1-33.10.3	Name of Coding System
NK1-33.10.4	Alternate Identifier
NK1-33.10.5	Alternate Text
NK1-33.10.6	Name of Alternate Coding System
NK1-33.10.7	Coding System Version ID
NK1-33.10.8	Alternate Coding System Version ID
NK1-33.10.9	Original Text
NK1-34	Job Status
NK1-35	Race
NK1-35.1	Identifier
NK1-35.2	Text
NK1-35.3	Name of Coding System
NK1-35.4	Alternate Identifier
NK1-35.5	Alternate Text
NK1-35.6	Name of Alternate Coding System
NK1-36	Handicap
NK1-37	Contact Person Social Security Number
NK1-38	Next of Kin Birth Place
NK1-39	VIP Indicator

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	5237
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	31309
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150624
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	118
RXA-5.2	Text	HPV, bivalent
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	795441
RXA-16	Substance Expiration Date
RXA-16.1	Time	20151223
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	SKB
RXA-17.2	Text	GlaxoSmithKline
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	Intramuscular
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier	RD
RXR-2.2	Text	Right Deltoid
RXR-2.3	Name of Coding System	HL70163
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	VXC50
OBX-5.2	Text	Public
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V05
OBX-5.2	Text	VFC Eligible - Underinsured
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300007311110503
OBX-5.2	Text	Human papillomavirus Vaccine (Cervarix) VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150624
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

Test Data Specification

Patient Information

Element	Data
Patient Name	Katherine Mackenzie Benton
Mother's Maiden Name	Jones
ID Number	89778
Date/Time of Birth	12/21/2003
Administrative Sex	Female
Patient Address	89 West 21st Ave Bozeman MT 59715 USA
Local Number	(406)555-4019
Race	White
Ethnic Group	Not Hispanic or Latino
Birth Order	1

Immunization Registry Information

Element	Data
Immunization Registry Status	A
Immunization Registry Status Effective Date	12/21/2003
Publicity Code	No reminder/recall
Publicity Code Effective Date	06/24/2015
Protection Indicator	Yes
Protection Indicator Effective Date	06/24/2015

Guardian or Responsible Party

Element	Data
Name	Kari Michelle Benton
Relationship	Mother
Address	89 West 21st Ave Bozeman MT 59715 USA
Phone Number	(406)555-4019

Vaccine Administration Information

Element	Data
Administered Code	HPV, bivalent
Date/Time Start of Administration	06/24/2015
Administered Amount	0.5
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	795441
Substance Expiration Date	12/23/2015
Substance Manufacturer Name	GlaxoSmithKline
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route	Intramuscular
Administration Site	Right Deltoid
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Public
Vaccine Funding Program Eligibility	VFC Eligible - Underinsured
Document Type	Human papillomavirus Vaccine (Cervarix) VIS
Date Vis Presented

1.3.2. Consume acknowledgement message

Tests the ability to consume a valid ACK message

Test Story

Description

The IIS returns a positive acknowledgement message indicating that no errors were found during the course of filing the message.

Comments

No Comments

PreCondition

A VXU message is generated by the EHR.

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

The acknowledgement message is consumed by the system responsible for the content of the administration message without error.

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	IIS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	wcEHR
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624093847.806-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	ACK
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	ACK
MSH-10	Message Control ID	65657
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z23
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	IIS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	wcEHR
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AA
MSA-2	Message Control ID	77732
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

1.4. TC-4

Child deleted administration

Test Story

Description

A child is seen at a clinic. A previously documented vaccination is deleted due to user error.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

This test case assesses the ability of the EHR to create  a delete message for a previously sent administration.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

1.4.1. Send administration message

Tests the ability to create a valid VXU^V04 message

Test Story

Description

After administering an HPV vaccination to the 11.5 year old female Katherine Benton the clinician, Lily Jackson (ID 7824) realizes that the vaccination was documented on the incorrect patient chart. She deletes the vaccination from the patient chart and transmits the change to the IIS.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	wcEHR
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	IIS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624093847.804-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	VXU
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	VXU_V04
MSH-10	Message Control ID	71892
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER
MSH-16	Application Acknowledgment Type	AL
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z22
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	wcEHR
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	IIS
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

PID : Patient Identification

Location	Data Elemenmt	Data	Categrization
PID-1	Set ID - PID	1
PID-2	Patient ID
PID-2.1	ID Number
PID-2.2	Check Digit
PID-2.3	Check Digit Scheme
PID-2.4	Assigning Authority
PID-2.4.1	Namespace ID
PID-2.4.2	Universal ID
PID-2.4.3	Universal ID Type
PID-2.5	Identifier Type Code
PID-2.6	Assigning Facility
PID-2.6.1	Namespace ID
PID-2.6.2	Universal ID
PID-2.6.3	Universal ID Type
PID-2.7	Effective Date
PID-2.8	Expiration Date
PID-2.9	Assigning Jurisdiction
PID-2.9.1	Identifier
PID-2.9.2	Text
PID-2.9.3	Name of Coding System
PID-2.9.4	Alternate Identifier
PID-2.9.5	Alternate Text
PID-2.9.6	Name of Alternate Coding System
PID-2.9.7	Coding System Version ID
PID-2.9.8	Alternate Coding System Version ID
PID-2.9.9	Original Text
PID-2.10	Assigning Agency or Department
PID-2.10.1	Identifier
PID-2.10.2	Text
PID-2.10.3	Name of Coding System
PID-2.10.4	Alternate Identifier
PID-2.10.5	Alternate Text
PID-2.10.6	Name of Alternate Coding System
PID-2.10.7	Coding System Version ID
PID-2.10.8	Alternate Coding System Version ID
PID-2.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	89778
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	wcEHR
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	MR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-4	Alternate Patient ID - PID
PID-4.1	ID Number
PID-4.2	Check Digit
PID-4.3	Check Digit Scheme
PID-4.4	Assigning Authority
PID-4.4.1	Namespace ID
PID-4.4.2	Universal ID
PID-4.4.3	Universal ID Type
PID-4.5	Identifier Type Code
PID-4.6	Assigning Facility
PID-4.6.1	Namespace ID
PID-4.6.2	Universal ID
PID-4.6.3	Universal ID Type
PID-4.7	Effective Date
PID-4.8	Expiration Date
PID-4.9	Assigning Jurisdiction
PID-4.9.1	Identifier
PID-4.9.2	Text
PID-4.9.3	Name of Coding System
PID-4.9.4	Alternate Identifier
PID-4.9.5	Alternate Text
PID-4.9.6	Name of Alternate Coding System
PID-4.9.7	Coding System Version ID
PID-4.9.8	Alternate Coding System Version ID
PID-4.9.9	Original Text
PID-4.10	Assigning Agency or Department
PID-4.10.1	Identifier
PID-4.10.2	Text
PID-4.10.3	Name of Coding System
PID-4.10.4	Alternate Identifier
PID-4.10.5	Alternate Text
PID-4.10.6	Name of Alternate Coding System
PID-4.10.7	Coding System Version ID
PID-4.10.8	Alternate Coding System Version ID
PID-4.10.9	Original Text
PID-5	Patient Name
PID-5.1	Family Name
PID-5.1.1	Surname	Benton
PID-5.1.2	Own Surname Prefix
PID-5.1.3	Own Surname
PID-5.1.4	Surname Prefix From Partner/Spouse
PID-5.1.5	Surname From Partner/Spouse
PID-5.2	Given Name	Katherine
PID-5.3	Second and Further Given Names or Initials Thereof	Mackenzie
PID-5.4	Suffix (e.g., JR or III)
PID-5.5	Prefix (e.g., DR)
PID-5.6	Degree (e.g., MD)
PID-5.7	Name Type Code	L
PID-5.8	Name Representation Code
PID-5.9	Name Context
PID-5.9.1	Identifier
PID-5.9.2	Text
PID-5.9.3	Name of Coding System
PID-5.9.4	Alternate Identifier
PID-5.9.5	Alternate Text
PID-5.9.6	Name of Alternate Coding System
PID-5.10	Name Validity Range
PID-5.10.1	Range Start Date/Time
PID-5.10.2	Range End Date/Time
PID-5.11	Name Assembly Order
PID-5.12	Effective Date
PID-5.12.1	Time
PID-5.12.2	Degree of Precision
PID-5.13	Expiration Date
PID-5.13.1	Time
PID-5.13.2	Degree of Precision
PID-5.14	Professional Suffix
PID-6	Mother's Maiden Name
PID-6.1	Family Name
PID-6.1.1	Surname	Jones
PID-6.1.2	Own Surname Prefix
PID-6.1.3	Own Surname
PID-6.1.4	Surname Prefix From Partner/Spouse
PID-6.1.5	Surname From Partner/Spouse
PID-6.2	Given Name
PID-6.3	Second and Further Given Names or Initials Thereof
PID-6.4	Suffix (e.g., JR or III)
PID-6.5	Prefix (e.g., DR)
PID-6.6	Degree (e.g., MD)
PID-6.7	Name Type Code	M
PID-6.8	Name Representation Code
PID-6.9	Name Context
PID-6.9.1	Identifier
PID-6.9.2	Text
PID-6.9.3	Name of Coding System
PID-6.9.4	Alternate Identifier
PID-6.9.5	Alternate Text
PID-6.9.6	Name of Alternate Coding System
PID-6.10	Name Validity Range
PID-6.10.1	Range Start Date/Time
PID-6.10.2	Range End Date/Time
PID-6.11	Name Assembly Order
PID-6.12	Effective Date
PID-6.12.1	Time
PID-6.12.2	Degree of Precision
PID-6.13	Expiration Date
PID-6.13.1	Time
PID-6.13.2	Degree of Precision
PID-6.14	Professional Suffix
PID-7	Date/Time of Birth
PID-7.1	Time	20031221
PID-7.2	Degree of Precision
PID-8	Administrative Sex	F
PID-9	Patient Alias
PID-9.1	Family Name
PID-9.1.1	Surname
PID-9.1.2	Own Surname Prefix
PID-9.1.3	Own Surname
PID-9.1.4	Surname Prefix From Partner/Spouse
PID-9.1.5	Surname From Partner/Spouse
PID-9.2	Given Name
PID-9.3	Second and Further Given Names or Initials Thereof
PID-9.4	Suffix (e.g., JR or III)
PID-9.5	Prefix (e.g., DR)
PID-9.6	Degree (e.g., MD)
PID-9.7	Name Type Code
PID-9.8	Name Representation Code
PID-9.9	Name Context
PID-9.9.1	Identifier
PID-9.9.2	Text
PID-9.9.3	Name of Coding System
PID-9.9.4	Alternate Identifier
PID-9.9.5	Alternate Text
PID-9.9.6	Name of Alternate Coding System
PID-9.10	Name Validity Range
PID-9.10.1	Range Start Date/Time
PID-9.10.2	Range End Date/Time
PID-9.11	Name Assembly Order
PID-9.12	Effective Date
PID-9.12.1	Time
PID-9.12.2	Degree of Precision
PID-9.13	Expiration Date
PID-9.13.1	Time
PID-9.13.2	Degree of Precision
PID-9.14	Professional Suffix
PID-10	Race
PID-10.1	Identifier	2106-3
PID-10.2	Text	White
PID-10.3	Name of Coding System	CDCREC
PID-10.4	Alternate Identifier
PID-10.5	Alternate Text
PID-10.6	Name of Alternate Coding System
PID-11	Patient Address
PID-11.1	Street Address
PID-11.1.1	Street or Mailing Address	89 West 21st Ave
PID-11.1.2	Street Name
PID-11.1.3	Dwelling Number
PID-11.2	Other Designation
PID-11.3	City	Bozeman
PID-11.4	State or Province	MT
PID-11.5	Zip or Postal Code	59715
PID-11.6	Country	USA
PID-11.7	Address Type	P
PID-11.8	Other Geographic Designation
PID-11.9	County/Parish Code
PID-11.10	Census Tract
PID-11.11	Address Representation Code
PID-11.12	Address Validity Range
PID-11.12.1	Range Start Date/Time
PID-11.12.2	Range End Date/Time
PID-11.13	Effective Date
PID-11.13.1	Time
PID-11.13.2	Degree of Precision
PID-11.14	Expiration Date
PID-11.14.1	Time
PID-11.14.2	Degree of Precision
PID-12	County Code
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	PRN
PID-13.3	Telecommunication Equipment Type	PH
PID-13.4	Email Address
PID-13.5	Country Code
PID-13.6	Area/City Code	406
PID-13.7	Local Number	5554019
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-14	Phone Number - Business
PID-14.1	Telephone Number
PID-14.2	Telecommunication Use Code
PID-14.3	Telecommunication Equipment Type
PID-14.4	Email Address
PID-14.5	Country Code
PID-14.6	Area/City Code
PID-14.7	Local Number
PID-14.8	Extension
PID-14.9	Any Text
PID-14.10	Extension Prefix
PID-14.11	Speed Dial Code
PID-14.12	Unformatted Telephone number
PID-15	Primary Language
PID-15.1	Identifier
PID-15.2	Text
PID-15.3	Name of Coding System
PID-15.4	Alternate Identifier
PID-15.5	Alternate Text
PID-15.6	Name of Alternate Coding System
PID-16	Marital Status
PID-16.1	Identifier
PID-16.2	Text
PID-16.3	Name of Coding System
PID-16.4	Alternate Identifier
PID-16.5	Alternate Text
PID-16.6	Name of Alternate Coding System
PID-17	Religion
PID-17.1	Identifier
PID-17.2	Text
PID-17.3	Name of Coding System
PID-17.4	Alternate Identifier
PID-17.5	Alternate Text
PID-17.6	Name of Alternate Coding System
PID-18	Patient Account Number
PID-18.1	ID Number
PID-18.2	Check Digit
PID-18.3	Check Digit Scheme
PID-18.4	Assigning Authority
PID-18.4.1	Namespace ID
PID-18.4.2	Universal ID
PID-18.4.3	Universal ID Type
PID-18.5	Identifier Type Code
PID-18.6	Assigning Facility
PID-18.6.1	Namespace ID
PID-18.6.2	Universal ID
PID-18.6.3	Universal ID Type
PID-18.7	Effective Date
PID-18.8	Expiration Date
PID-18.9	Assigning Jurisdiction
PID-18.9.1	Identifier
PID-18.9.2	Text
PID-18.9.3	Name of Coding System
PID-18.9.4	Alternate Identifier
PID-18.9.5	Alternate Text
PID-18.9.6	Name of Alternate Coding System
PID-18.9.7	Coding System Version ID
PID-18.9.8	Alternate Coding System Version ID
PID-18.9.9	Original Text
PID-18.10	Assigning Agency or Department
PID-18.10.1	Identifier
PID-18.10.2	Text
PID-18.10.3	Name of Coding System
PID-18.10.4	Alternate Identifier
PID-18.10.5	Alternate Text
PID-18.10.6	Name of Alternate Coding System
PID-18.10.7	Coding System Version ID
PID-18.10.8	Alternate Coding System Version ID
PID-18.10.9	Original Text
PID-19	SSN Number - Patient
PID-20	Driver's License Number - Patient
PID-20.1	License Number
PID-20.2	Issuing State, Province, Country
PID-20.3	Expiration Date
PID-21	Mother's Identifier
PID-21.1	ID Number
PID-21.2	Check Digit
PID-21.3	Check Digit Scheme
PID-21.4	Assigning Authority
PID-21.4.1	Namespace ID
PID-21.4.2	Universal ID
PID-21.4.3	Universal ID Type
PID-21.5	Identifier Type Code
PID-21.6	Assigning Facility
PID-21.6.1	Namespace ID
PID-21.6.2	Universal ID
PID-21.6.3	Universal ID Type
PID-21.7	Effective Date
PID-21.8	Expiration Date
PID-21.9	Assigning Jurisdiction
PID-21.9.1	Identifier
PID-21.9.2	Text
PID-21.9.3	Name of Coding System
PID-21.9.4	Alternate Identifier
PID-21.9.5	Alternate Text
PID-21.9.6	Name of Alternate Coding System
PID-21.9.7	Coding System Version ID
PID-21.9.8	Alternate Coding System Version ID
PID-21.9.9	Original Text
PID-21.10	Assigning Agency or Department
PID-21.10.1	Identifier
PID-21.10.2	Text
PID-21.10.3	Name of Coding System
PID-21.10.4	Alternate Identifier
PID-21.10.5	Alternate Text
PID-21.10.6	Name of Alternate Coding System
PID-21.10.7	Coding System Version ID
PID-21.10.8	Alternate Coding System Version ID
PID-21.10.9	Original Text
PID-22	Ethnic Group
PID-22.1	Identifier	2186-5
PID-22.2	Text	Not Hispanic or Latino
PID-22.3	Name of Coding System	CDCREC
PID-22.4	Alternate Identifier
PID-22.5	Alternate Text
PID-22.6	Name of Alternate Coding System
PID-23	Birth Place
PID-24	Multiple Birth Indicator	N
PID-25	Birth Order	1
PID-26	Citizenship
PID-26.1	Identifier
PID-26.2	Text
PID-26.3	Name of Coding System
PID-26.4	Alternate Identifier
PID-26.5	Alternate Text
PID-26.6	Name of Alternate Coding System
PID-27	Veterans Military Status
PID-27.1	Identifier
PID-27.2	Text
PID-27.3	Name of Coding System
PID-27.4	Alternate Identifier
PID-27.5	Alternate Text
PID-27.6	Name of Alternate Coding System
PID-28	Nationality
PID-28.1	Identifier
PID-28.2	Text
PID-28.3	Name of Coding System
PID-28.4	Alternate Identifier
PID-28.5	Alternate Text
PID-28.6	Name of Alternate Coding System
PID-29	Patient Death Date and Time
PID-29.1	Time
PID-29.2	Degree of Precision
PID-30	Patient Death Indicator	N
PID-31	Identity Unknown Indicator
PID-32	Identity Reliability Code
PID-33	Last Update Date/Time
PID-33.1	Time
PID-33.2	Degree of Precision
PID-34	Last Update Facility
PID-34.1	Namespace ID
PID-34.2	Universal ID
PID-34.3	Universal ID Type
PID-35	Species Code
PID-35.1	Identifier
PID-35.2	Text
PID-35.3	Name of Coding System
PID-35.4	Alternate Identifier
PID-35.5	Alternate Text
PID-35.6	Name of Alternate Coding System
PID-36	Breed Code
PID-36.1	Identifier
PID-36.2	Text
PID-36.3	Name of Coding System
PID-36.4	Alternate Identifier
PID-36.5	Alternate Text
PID-36.6	Name of Alternate Coding System
PID-37	Strain
PID-38	Production Class Code
PID-38.1	Identifier
PID-38.2	Text
PID-38.3	Name of Coding System
PID-38.4	Alternate Identifier
PID-38.5	Alternate Text
PID-38.6	Name of Alternate Coding System
PID-39	Tribal Citizenship
PID-39.1	Identifier
PID-39.2	Text
PID-39.3	Name of Coding System
PID-39.4	Alternate Identifier
PID-39.5	Alternate Text
PID-39.6	Name of Alternate Coding System
PID-39.7	Coding System Version ID
PID-39.8	Alternate Coding System Version ID
PID-39.9	Original Text

PD1 : Patient Additional Demographic

Location	Data Elemenmt	Data	Categrization
PD1-1	Living Dependency
PD1-2	Living Arrangement
PD1-3	Patient Primary Facility
PD1-3.1	Organization Name
PD1-3.2	Organization Name Type Code
PD1-3.3	ID Number
PD1-3.4	Check Digit
PD1-3.5	Check Digit Scheme
PD1-3.6	Assigning Authority
PD1-3.6.1	Namespace ID
PD1-3.6.2	Universal ID
PD1-3.6.3	Universal ID Type
PD1-3.7	Identifier Type Code
PD1-3.8	Assigning Facility
PD1-3.8.1	Namespace ID
PD1-3.8.2	Universal ID
PD1-3.8.3	Universal ID Type
PD1-3.9	Name Representation Code
PD1-3.10	Organization Identifier
PD1-4	Patient Primary Care Provider Name & ID No.
PD1-4.1	ID Number
PD1-4.2	Family Name
PD1-4.2.1	Surname
PD1-4.2.2	Own Surname Prefix
PD1-4.2.3	Own Surname
PD1-4.2.4	Surname Prefix From Partner/Spouse
PD1-4.2.5	Surname From Partner/Spouse
PD1-4.3	Given Name
PD1-4.4	Second and Further Given Names or Initials Thereof
PD1-4.5	Suffix (e.g., JR or III)
PD1-4.6	Prefix (e.g., DR)
PD1-4.7	Degree (e.g., MD)
PD1-4.8	Source Table
PD1-4.9	Assigning Authority
PD1-4.9.1	Namespace ID
PD1-4.9.2	Universal ID
PD1-4.9.3	Universal ID Type
PD1-4.10	Name Type Code
PD1-4.11	Identifier Check Digit
PD1-4.12	Check Digit Scheme
PD1-4.13	Identifier Type Code
PD1-4.14	Assigning Facility
PD1-4.14.1	Namespace ID
PD1-4.14.2	Universal ID
PD1-4.14.3	Universal ID Type
PD1-4.15	Name Representation Code
PD1-4.16	Name Context
PD1-4.16.1	Identifier
PD1-4.16.2	Text
PD1-4.16.3	Name of Coding System
PD1-4.16.4	Alternate Identifier
PD1-4.16.5	Alternate Text
PD1-4.16.6	Name of Alternate Coding System
PD1-4.17	Name Validity Range
PD1-4.17.1	Range Start Date/Time
PD1-4.17.2	Range End Date/Time
PD1-4.18	Name Assembly Order
PD1-4.19	Effective Date
PD1-4.19.1	Time
PD1-4.19.2	Degree of Precision
PD1-4.20	Expiration Date
PD1-4.20.1	Time
PD1-4.20.2	Degree of Precision
PD1-4.21	Professional Suffix
PD1-4.22	Assigning Jurisdiction
PD1-4.22.1	Identifier
PD1-4.22.2	Text
PD1-4.22.3	Name of Coding System
PD1-4.22.4	Alternate Identifier
PD1-4.22.5	Alternate Text
PD1-4.22.6	Name of Alternate Coding System
PD1-4.22.7	Coding System Version ID
PD1-4.22.8	Alternate Coding System Version ID
PD1-4.22.9	Original Text
PD1-4.23	Assigning Agency or Department
PD1-4.23.1	Identifier
PD1-4.23.2	Text
PD1-4.23.3	Name of Coding System
PD1-4.23.4	Alternate Identifier
PD1-4.23.5	Alternate Text
PD1-4.23.6	Name of Alternate Coding System
PD1-4.23.7	Coding System Version ID
PD1-4.23.8	Alternate Coding System Version ID
PD1-4.23.9	Original Text
PD1-5	Student Indicator
PD1-6	Handicap
PD1-7	Living Will Code
PD1-8	Organ Donor Code
PD1-9	Separate Bill
PD1-10	Duplicate Patient
PD1-10.1	ID Number
PD1-10.2	Check Digit
PD1-10.3	Check Digit Scheme
PD1-10.4	Assigning Authority
PD1-10.4.1	Namespace ID
PD1-10.4.2	Universal ID
PD1-10.4.3	Universal ID Type
PD1-10.5	Identifier Type Code
PD1-10.6	Assigning Facility
PD1-10.6.1	Namespace ID
PD1-10.6.2	Universal ID
PD1-10.6.3	Universal ID Type
PD1-10.7	Effective Date
PD1-10.8	Expiration Date
PD1-10.9	Assigning Jurisdiction
PD1-10.9.1	Identifier
PD1-10.9.2	Text
PD1-10.9.3	Name of Coding System
PD1-10.9.4	Alternate Identifier
PD1-10.9.5	Alternate Text
PD1-10.9.6	Name of Alternate Coding System
PD1-10.9.7	Coding System Version ID
PD1-10.9.8	Alternate Coding System Version ID
PD1-10.9.9	Original Text
PD1-10.10	Assigning Agency or Department
PD1-10.10.1	Identifier
PD1-10.10.2	Text
PD1-10.10.3	Name of Coding System
PD1-10.10.4	Alternate Identifier
PD1-10.10.5	Alternate Text
PD1-10.10.6	Name of Alternate Coding System
PD1-10.10.7	Coding System Version ID
PD1-10.10.8	Alternate Coding System Version ID
PD1-10.10.9	Original Text
PD1-11	Publicity Code
PD1-11.1	Identifier	01
PD1-11.2	Text	No reminder/recall
PD1-11.3	Name of Coding System	HL70215
PD1-11.4	Alternate Identifier
PD1-11.5	Alternate Text
PD1-11.6	Name of Alternate Coding System
PD1-12	Protection Indicator	Y
PD1-13	Protection Indicator Effective Date	20150624
PD1-14	Place of Worship
PD1-14.1	Organization Name
PD1-14.2	Organization Name Type Code
PD1-14.3	ID Number
PD1-14.4	Check Digit
PD1-14.5	Check Digit Scheme
PD1-14.6	Assigning Authority
PD1-14.6.1	Namespace ID
PD1-14.6.2	Universal ID
PD1-14.6.3	Universal ID Type
PD1-14.7	Identifier Type Code
PD1-14.8	Assigning Facility
PD1-14.8.1	Namespace ID
PD1-14.8.2	Universal ID
PD1-14.8.3	Universal ID Type
PD1-14.9	Name Representation Code
PD1-14.10	Organization Identifier
PD1-15	Advance Directive Code
PD1-15.1	Identifier
PD1-15.2	Text
PD1-15.3	Name of Coding System
PD1-15.4	Alternate Identifier
PD1-15.5	Alternate Text
PD1-15.6	Name of Alternate Coding System
PD1-16	Immunization Registry Status	A
PD1-17	Immunization Registry Status Effective Date	20031221
PD1-18	Publicity Code Effective Date	20150624
PD1-19	Military Branch
PD1-20	Military Rank/Grade
PD1-21	Military Status

NK1 : Next of Kin / Associated Parties

Location	Data Elemenmt	Data	Categrization
NK1-1	Set ID - NK1	1
NK1-2	Name
NK1-2.1	Family Name
NK1-2.1.1	Surname	Benton
NK1-2.1.2	Own Surname Prefix
NK1-2.1.3	Own Surname
NK1-2.1.4	Surname Prefix From Partner/Spouse
NK1-2.1.5	Surname From Partner/Spouse
NK1-2.2	Given Name	Kari
NK1-2.3	Second and Further Given Names or Initials Thereof	Michelle
NK1-2.4	Suffix (e.g., JR or III)
NK1-2.5	Prefix (e.g., DR)
NK1-2.6	Degree (e.g., MD)
NK1-2.7	Name Type Code	L
NK1-2.8	Name Representation Code
NK1-2.9	Name Context
NK1-2.9.1	Identifier
NK1-2.9.2	Text
NK1-2.9.3	Name of Coding System
NK1-2.9.4	Alternate Identifier
NK1-2.9.5	Alternate Text
NK1-2.9.6	Name of Alternate Coding System
NK1-2.10	Name Validity Range
NK1-2.10.1	Range Start Date/Time
NK1-2.10.2	Range End Date/Time
NK1-2.11	Name Assembly Order
NK1-2.12	Effective Date
NK1-2.12.1	Time
NK1-2.12.2	Degree of Precision
NK1-2.13	Expiration Date
NK1-2.13.1	Time
NK1-2.13.2	Degree of Precision
NK1-2.14	Professional Suffix
NK1-3	Relationship
NK1-3.1	Identifier	MTH
NK1-3.2	Text	Mother
NK1-3.3	Name of Coding System	HL70063
NK1-3.4	Alternate Identifier
NK1-3.5	Alternate Text
NK1-3.6	Name of Alternate Coding System
NK1-4	Address
NK1-4.1	Street Address
NK1-4.1.1	Street or Mailing Address	89 West 21st Ave
NK1-4.1.2	Street Name
NK1-4.1.3	Dwelling Number
NK1-4.2	Other Designation
NK1-4.3	City	Bozeman
NK1-4.4	State or Province	MT
NK1-4.5	Zip or Postal Code	59715
NK1-4.6	Country	USA
NK1-4.7	Address Type	P
NK1-4.8	Other Geographic Designation
NK1-4.9	County/Parish Code
NK1-4.10	Census Tract
NK1-4.11	Address Representation Code
NK1-4.12	Address Validity Range
NK1-4.12.1	Range Start Date/Time
NK1-4.12.2	Range End Date/Time
NK1-4.13	Effective Date
NK1-4.13.1	Time
NK1-4.13.2	Degree of Precision
NK1-4.14	Expiration Date
NK1-4.14.1	Time
NK1-4.14.2	Degree of Precision
NK1-5	Phone Number
NK1-5.1	Telephone Number
NK1-5.2	Telecommunication Use Code	PRN
NK1-5.3	Telecommunication Equipment Type	PH
NK1-5.4	Email Address
NK1-5.5	Country Code
NK1-5.6	Area/City Code	406
NK1-5.7	Local Number	5554019
NK1-5.8	Extension
NK1-5.9	Any Text
NK1-5.10	Extension Prefix
NK1-5.11	Speed Dial Code
NK1-5.12	Unformatted Telephone number
NK1-6	Business Phone Number
NK1-6.1	Telephone Number
NK1-6.2	Telecommunication Use Code
NK1-6.3	Telecommunication Equipment Type
NK1-6.4	Email Address
NK1-6.5	Country Code
NK1-6.6	Area/City Code
NK1-6.7	Local Number
NK1-6.8	Extension
NK1-6.9	Any Text
NK1-6.10	Extension Prefix
NK1-6.11	Speed Dial Code
NK1-6.12	Unformatted Telephone number
NK1-7	Contact Role
NK1-7.1	Identifier
NK1-7.2	Text
NK1-7.3	Name of Coding System
NK1-7.4	Alternate Identifier
NK1-7.5	Alternate Text
NK1-7.6	Name of Alternate Coding System
NK1-8	Start Date
NK1-9	End Date
NK1-10	Next of Kin / Associated Parties Job Title
NK1-11	Next of Kin / Associated Parties Job Code/Class
NK1-11.1	Job Code
NK1-11.2	Job Class
NK1-11.3	Job Description Text
NK1-12	Next of Kin / Associated Parties Employee Number
NK1-12.1	ID Number
NK1-12.2	Check Digit
NK1-12.3	Check Digit Scheme
NK1-12.4	Assigning Authority
NK1-12.4.1	Namespace ID
NK1-12.4.2	Universal ID
NK1-12.4.3	Universal ID Type
NK1-12.5	Identifier Type Code
NK1-12.6	Assigning Facility
NK1-12.6.1	Namespace ID
NK1-12.6.2	Universal ID
NK1-12.6.3	Universal ID Type
NK1-12.7	Effective Date
NK1-12.8	Expiration Date
NK1-12.9	Assigning Jurisdiction
NK1-12.9.1	Identifier
NK1-12.9.2	Text
NK1-12.9.3	Name of Coding System
NK1-12.9.4	Alternate Identifier
NK1-12.9.5	Alternate Text
NK1-12.9.6	Name of Alternate Coding System
NK1-12.9.7	Coding System Version ID
NK1-12.9.8	Alternate Coding System Version ID
NK1-12.9.9	Original Text
NK1-12.10	Assigning Agency or Department
NK1-12.10.1	Identifier
NK1-12.10.2	Text
NK1-12.10.3	Name of Coding System
NK1-12.10.4	Alternate Identifier
NK1-12.10.5	Alternate Text
NK1-12.10.6	Name of Alternate Coding System
NK1-12.10.7	Coding System Version ID
NK1-12.10.8	Alternate Coding System Version ID
NK1-12.10.9	Original Text
NK1-13	Organization Name - NK1
NK1-13.1	Organization Name
NK1-13.2	Organization Name Type Code
NK1-13.3	ID Number
NK1-13.4	Check Digit
NK1-13.5	Check Digit Scheme
NK1-13.6	Assigning Authority
NK1-13.6.1	Namespace ID
NK1-13.6.2	Universal ID
NK1-13.6.3	Universal ID Type
NK1-13.7	Identifier Type Code
NK1-13.8	Assigning Facility
NK1-13.8.1	Namespace ID
NK1-13.8.2	Universal ID
NK1-13.8.3	Universal ID Type
NK1-13.9	Name Representation Code
NK1-13.10	Organization Identifier
NK1-14	Marital Status
NK1-14.1	Identifier
NK1-14.2	Text
NK1-14.3	Name of Coding System
NK1-14.4	Alternate Identifier
NK1-14.5	Alternate Text
NK1-14.6	Name of Alternate Coding System
NK1-15	Administrative Sex
NK1-16	Date/Time of Birth
NK1-16.1	Time
NK1-16.2	Degree of Precision
NK1-17	Living Dependency
NK1-18	Ambulatory Status
NK1-19	Citizenship
NK1-19.1	Identifier
NK1-19.2	Text
NK1-19.3	Name of Coding System
NK1-19.4	Alternate Identifier
NK1-19.5	Alternate Text
NK1-19.6	Name of Alternate Coding System
NK1-20	Primary Language
NK1-20.1	Identifier
NK1-20.2	Text
NK1-20.3	Name of Coding System
NK1-20.4	Alternate Identifier
NK1-20.5	Alternate Text
NK1-20.6	Name of Alternate Coding System
NK1-21	Living Arrangement
NK1-22	Publicity Code
NK1-22.1	Identifier
NK1-22.2	Text
NK1-22.3	Name of Coding System
NK1-22.4	Alternate Identifier
NK1-22.5	Alternate Text
NK1-22.6	Name of Alternate Coding System
NK1-23	Protection Indicator
NK1-24	Student Indicator
NK1-25	Religion
NK1-25.1	Identifier
NK1-25.2	Text
NK1-25.3	Name of Coding System
NK1-25.4	Alternate Identifier
NK1-25.5	Alternate Text
NK1-25.6	Name of Alternate Coding System
NK1-26	Mother's Maiden Name
NK1-26.1	Family Name
NK1-26.1.1	Surname
NK1-26.1.2	Own Surname Prefix
NK1-26.1.3	Own Surname
NK1-26.1.4	Surname Prefix From Partner/Spouse
NK1-26.1.5	Surname From Partner/Spouse
NK1-26.2	Given Name
NK1-26.3	Second and Further Given Names or Initials Thereof
NK1-26.4	Suffix (e.g., JR or III)
NK1-26.5	Prefix (e.g., DR)
NK1-26.6	Degree (e.g., MD)
NK1-26.7	Name Type Code
NK1-26.8	Name Representation Code
NK1-26.9	Name Context
NK1-26.9.1	Identifier
NK1-26.9.2	Text
NK1-26.9.3	Name of Coding System
NK1-26.9.4	Alternate Identifier
NK1-26.9.5	Alternate Text
NK1-26.9.6	Name of Alternate Coding System
NK1-26.10	Name Validity Range
NK1-26.10.1	Range Start Date/Time
NK1-26.10.2	Range End Date/Time
NK1-26.11	Name Assembly Order
NK1-26.12	Effective Date
NK1-26.12.1	Time
NK1-26.12.2	Degree of Precision
NK1-26.13	Expiration Date
NK1-26.13.1	Time
NK1-26.13.2	Degree of Precision
NK1-26.14	Professional Suffix
NK1-27	Nationality
NK1-27.1	Identifier
NK1-27.2	Text
NK1-27.3	Name of Coding System
NK1-27.4	Alternate Identifier
NK1-27.5	Alternate Text
NK1-27.6	Name of Alternate Coding System
NK1-28	Ethnic Group
NK1-28.1	Identifier
NK1-28.2	Text
NK1-28.3	Name of Coding System
NK1-28.4	Alternate Identifier
NK1-28.5	Alternate Text
NK1-28.6	Name of Alternate Coding System
NK1-29	Contact Reason
NK1-29.1	Identifier
NK1-29.2	Text
NK1-29.3	Name of Coding System
NK1-29.4	Alternate Identifier
NK1-29.5	Alternate Text
NK1-29.6	Name of Alternate Coding System
NK1-30	Contact Person's Name
NK1-30.1	Family Name
NK1-30.1.1	Surname
NK1-30.1.2	Own Surname Prefix
NK1-30.1.3	Own Surname
NK1-30.1.4	Surname Prefix From Partner/Spouse
NK1-30.1.5	Surname From Partner/Spouse
NK1-30.2	Given Name
NK1-30.3	Second and Further Given Names or Initials Thereof
NK1-30.4	Suffix (e.g., JR or III)
NK1-30.5	Prefix (e.g., DR)
NK1-30.6	Degree (e.g., MD)
NK1-30.7	Name Type Code
NK1-30.8	Name Representation Code
NK1-30.9	Name Context
NK1-30.9.1	Identifier
NK1-30.9.2	Text
NK1-30.9.3	Name of Coding System
NK1-30.9.4	Alternate Identifier
NK1-30.9.5	Alternate Text
NK1-30.9.6	Name of Alternate Coding System
NK1-30.10	Name Validity Range
NK1-30.10.1	Range Start Date/Time
NK1-30.10.2	Range End Date/Time
NK1-30.11	Name Assembly Order
NK1-30.12	Effective Date
NK1-30.12.1	Time
NK1-30.12.2	Degree of Precision
NK1-30.13	Expiration Date
NK1-30.13.1	Time
NK1-30.13.2	Degree of Precision
NK1-30.14	Professional Suffix
NK1-31	Contact Person's Telephone Number
NK1-31.1	Telephone Number
NK1-31.2	Telecommunication Use Code
NK1-31.3	Telecommunication Equipment Type
NK1-31.4	Email Address
NK1-31.5	Country Code
NK1-31.6	Area/City Code
NK1-31.7	Local Number
NK1-31.8	Extension
NK1-31.9	Any Text
NK1-31.10	Extension Prefix
NK1-31.11	Speed Dial Code
NK1-31.12	Unformatted Telephone number
NK1-32	Contact Person's Address
NK1-32.1	Street Address
NK1-32.1.1	Street or Mailing Address
NK1-32.1.2	Street Name
NK1-32.1.3	Dwelling Number
NK1-32.2	Other Designation
NK1-32.3	City
NK1-32.4	State or Province
NK1-32.5	Zip or Postal Code
NK1-32.6	Country
NK1-32.7	Address Type
NK1-32.8	Other Geographic Designation
NK1-32.9	County/Parish Code
NK1-32.10	Census Tract
NK1-32.11	Address Representation Code
NK1-32.12	Address Validity Range
NK1-32.12.1	Range Start Date/Time
NK1-32.12.2	Range End Date/Time
NK1-32.13	Effective Date
NK1-32.13.1	Time
NK1-32.13.2	Degree of Precision
NK1-32.14	Expiration Date
NK1-32.14.1	Time
NK1-32.14.2	Degree of Precision
NK1-33	Next of Kin/Associated Party's Identifiers
NK1-33.1	ID Number
NK1-33.2	Check Digit
NK1-33.3	Check Digit Scheme
NK1-33.4	Assigning Authority
NK1-33.4.1	Namespace ID
NK1-33.4.2	Universal ID
NK1-33.4.3	Universal ID Type
NK1-33.5	Identifier Type Code
NK1-33.6	Assigning Facility
NK1-33.6.1	Namespace ID
NK1-33.6.2	Universal ID
NK1-33.6.3	Universal ID Type
NK1-33.7	Effective Date
NK1-33.8	Expiration Date
NK1-33.9	Assigning Jurisdiction
NK1-33.9.1	Identifier
NK1-33.9.2	Text
NK1-33.9.3	Name of Coding System
NK1-33.9.4	Alternate Identifier
NK1-33.9.5	Alternate Text
NK1-33.9.6	Name of Alternate Coding System
NK1-33.9.7	Coding System Version ID
NK1-33.9.8	Alternate Coding System Version ID
NK1-33.9.9	Original Text
NK1-33.10	Assigning Agency or Department
NK1-33.10.1	Identifier
NK1-33.10.2	Text
NK1-33.10.3	Name of Coding System
NK1-33.10.4	Alternate Identifier
NK1-33.10.5	Alternate Text
NK1-33.10.6	Name of Alternate Coding System
NK1-33.10.7	Coding System Version ID
NK1-33.10.8	Alternate Coding System Version ID
NK1-33.10.9	Original Text
NK1-34	Job Status
NK1-35	Race
NK1-35.1	Identifier
NK1-35.2	Text
NK1-35.3	Name of Coding System
NK1-35.4	Alternate Identifier
NK1-35.5	Alternate Text
NK1-35.6	Name of Alternate Coding System
NK1-36	Handicap
NK1-37	Contact Person Social Security Number
NK1-38	Next of Kin Birth Place
NK1-39	VIP Indicator

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	5237
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	31309
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150624
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	118
RXA-5.2	Text	HPV, bivalent
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	795441
RXA-16	Substance Expiration Date
RXA-16.1	Time	20151223
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	SKB
RXA-17.2	Text	GlaxoSmithKline
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	D
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	Intramuscular
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier	RD
RXR-2.2	Text	Right Deltoid
RXR-2.3	Name of Coding System	HL70163
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	VXC50
OBX-5.2	Text	Public
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V05
OBX-5.2	Text	VFC Eligible - Underinsured
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300007311110503
OBX-5.2	Text	Human papillomavirus Vaccine (Cervarix) VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150624
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

Test Data Specification

Patient Information

Element	Data
Patient Name	Katherine Mackenzie Benton
Mother's Maiden Name	Jones
ID Number	89778
Date/Time of Birth	12/21/2003
Administrative Sex	Female
Patient Address	89 West 21st Ave Bozeman MT 59715 USA
Local Number	(406)555-4019
Race	White
Ethnic Group	Not Hispanic or Latino
Birth Order	1

Immunization Registry Information

Element	Data
Immunization Registry Status	A
Immunization Registry Status Effective Date	12/21/2003
Publicity Code	No reminder/recall
Publicity Code Effective Date	06/24/2015
Protection Indicator	Yes
Protection Indicator Effective Date	06/24/2015

Guardian or Responsible Party

Element	Data
Name	Kari Michelle Benton
Relationship	Mother
Address	89 West 21st Ave Bozeman MT 59715 USA
Phone Number	(406)555-4019

Vaccine Administration Information

Element	Data
Administered Code	HPV, bivalent
Date/Time Start of Administration	06/24/2015
Administered Amount	0.5
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	795441
Substance Expiration Date	12/23/2015
Substance Manufacturer Name	GlaxoSmithKline
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Delete
Route	Intramuscular
Administration Site	Right Deltoid
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Public
Vaccine Funding Program Eligibility	VFC Eligible - Underinsured
Document Type	Human papillomavirus Vaccine (Cervarix) VIS
Date Vis Presented

1.4.2. Consume acknowledgement message

Tests the ability to consume a valid ACK message

Test Story

Description

The IIS returns a positive acknowledgement message indicating that no errors were found during the course of filing the message.

Comments

No Comments

PreCondition

A VXU message is generated by the EHR.

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

The acknowledgement message is consumed by the system responsible for the content of the administration message without error.

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	IIS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	wcEHR
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624093847.806-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	ACK
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	ACK
MSH-10	Message Control ID	65657
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z23
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	IIS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	wcEHR
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AA
MSA-2	Message Control ID	71892
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

1.5. TC-5

Child partial administration

Test Story

Description

A child is seen at a clinic. A new vaccination is administered but only a partial dose is given.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

This test case assesses the ability of the EHR to create an administration message for child who received a partial administration of a vaccine.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

1.5.1. Send administration message

Tests the ability to create a valid VXU^V04 message

Test Story

Description

An 18 month old male, Daryl Andre Johnson, is brought to the West Clinic for a well child visit by his father James Terrance Johnson. Daryl?s twin brother, born 5 minutes before Daryl, was not able to make it to the clinic. A clinic staff member collects basic patient demographic information including name, date of birth and sex. A clinic provider, Wilma Thomas (physician ID 654) reviews the patient?s vaccination history and determines that the child requires a Hep A vaccination. The child is covered by insurance and does not qualify for all Vaccine For Children (VFC) supplied vaccines. The father is given the Vaccine Information Sheet (VIS) to review. After reading it, the father agrees that the child should receive the Hep A vaccine He also agrees that the data should be shared once it is incorporated into the local IIS. An appropriate dose of Hep A is selected from the clinic?s stock of privately funded vaccines. A clinician, Lily Jackson (ID 7824) prepares and administers the doses to the patient, however the patient moves unexpectedly during the administration and only a portion of the dose is actually administered. The clinician enters the data into the EHR as a partial administration and transmits it to the IIS.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	wcEHR
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	IIS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624093847.806-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	VXU
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	VXU_V04
MSH-10	Message Control ID	29407
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER
MSH-16	Application Acknowledgment Type	AL
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z22
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	wcEHR
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	IIS
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

PID : Patient Identification

Location	Data Elemenmt	Data	Categrization
PID-1	Set ID - PID	1
PID-2	Patient ID
PID-2.1	ID Number
PID-2.2	Check Digit
PID-2.3	Check Digit Scheme
PID-2.4	Assigning Authority
PID-2.4.1	Namespace ID
PID-2.4.2	Universal ID
PID-2.4.3	Universal ID Type
PID-2.5	Identifier Type Code
PID-2.6	Assigning Facility
PID-2.6.1	Namespace ID
PID-2.6.2	Universal ID
PID-2.6.3	Universal ID Type
PID-2.7	Effective Date
PID-2.8	Expiration Date
PID-2.9	Assigning Jurisdiction
PID-2.9.1	Identifier
PID-2.9.2	Text
PID-2.9.3	Name of Coding System
PID-2.9.4	Alternate Identifier
PID-2.9.5	Alternate Text
PID-2.9.6	Name of Alternate Coding System
PID-2.9.7	Coding System Version ID
PID-2.9.8	Alternate Coding System Version ID
PID-2.9.9	Original Text
PID-2.10	Assigning Agency or Department
PID-2.10.1	Identifier
PID-2.10.2	Text
PID-2.10.3	Name of Coding System
PID-2.10.4	Alternate Identifier
PID-2.10.5	Alternate Text
PID-2.10.6	Name of Alternate Coding System
PID-2.10.7	Coding System Version ID
PID-2.10.8	Alternate Coding System Version ID
PID-2.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	76511
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	wcEHR
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	MR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-4	Alternate Patient ID - PID
PID-4.1	ID Number
PID-4.2	Check Digit
PID-4.3	Check Digit Scheme
PID-4.4	Assigning Authority
PID-4.4.1	Namespace ID
PID-4.4.2	Universal ID
PID-4.4.3	Universal ID Type
PID-4.5	Identifier Type Code
PID-4.6	Assigning Facility
PID-4.6.1	Namespace ID
PID-4.6.2	Universal ID
PID-4.6.3	Universal ID Type
PID-4.7	Effective Date
PID-4.8	Expiration Date
PID-4.9	Assigning Jurisdiction
PID-4.9.1	Identifier
PID-4.9.2	Text
PID-4.9.3	Name of Coding System
PID-4.9.4	Alternate Identifier
PID-4.9.5	Alternate Text
PID-4.9.6	Name of Alternate Coding System
PID-4.9.7	Coding System Version ID
PID-4.9.8	Alternate Coding System Version ID
PID-4.9.9	Original Text
PID-4.10	Assigning Agency or Department
PID-4.10.1	Identifier
PID-4.10.2	Text
PID-4.10.3	Name of Coding System
PID-4.10.4	Alternate Identifier
PID-4.10.5	Alternate Text
PID-4.10.6	Name of Alternate Coding System
PID-4.10.7	Coding System Version ID
PID-4.10.8	Alternate Coding System Version ID
PID-4.10.9	Original Text
PID-5	Patient Name
PID-5.1	Family Name
PID-5.1.1	Surname	Johnson
PID-5.1.2	Own Surname Prefix
PID-5.1.3	Own Surname
PID-5.1.4	Surname Prefix From Partner/Spouse
PID-5.1.5	Surname From Partner/Spouse
PID-5.2	Given Name	Daryl
PID-5.3	Second and Further Given Names or Initials Thereof	Andre
PID-5.4	Suffix (e.g., JR or III)
PID-5.5	Prefix (e.g., DR)
PID-5.6	Degree (e.g., MD)
PID-5.7	Name Type Code	L
PID-5.8	Name Representation Code
PID-5.9	Name Context
PID-5.9.1	Identifier
PID-5.9.2	Text
PID-5.9.3	Name of Coding System
PID-5.9.4	Alternate Identifier
PID-5.9.5	Alternate Text
PID-5.9.6	Name of Alternate Coding System
PID-5.10	Name Validity Range
PID-5.10.1	Range Start Date/Time
PID-5.10.2	Range End Date/Time
PID-5.11	Name Assembly Order
PID-5.12	Effective Date
PID-5.12.1	Time
PID-5.12.2	Degree of Precision
PID-5.13	Expiration Date
PID-5.13.1	Time
PID-5.13.2	Degree of Precision
PID-5.14	Professional Suffix
PID-6	Mother's Maiden Name
PID-6.1	Family Name
PID-6.1.1	Surname
PID-6.1.2	Own Surname Prefix
PID-6.1.3	Own Surname
PID-6.1.4	Surname Prefix From Partner/Spouse
PID-6.1.5	Surname From Partner/Spouse
PID-6.2	Given Name
PID-6.3	Second and Further Given Names or Initials Thereof
PID-6.4	Suffix (e.g., JR or III)
PID-6.5	Prefix (e.g., DR)
PID-6.6	Degree (e.g., MD)
PID-6.7	Name Type Code
PID-6.8	Name Representation Code
PID-6.9	Name Context
PID-6.9.1	Identifier
PID-6.9.2	Text
PID-6.9.3	Name of Coding System
PID-6.9.4	Alternate Identifier
PID-6.9.5	Alternate Text
PID-6.9.6	Name of Alternate Coding System
PID-6.10	Name Validity Range
PID-6.10.1	Range Start Date/Time
PID-6.10.2	Range End Date/Time
PID-6.11	Name Assembly Order
PID-6.12	Effective Date
PID-6.12.1	Time
PID-6.12.2	Degree of Precision
PID-6.13	Expiration Date
PID-6.13.1	Time
PID-6.13.2	Degree of Precision
PID-6.14	Professional Suffix
PID-7	Date/Time of Birth
PID-7.1	Time	20131203
PID-7.2	Degree of Precision
PID-8	Administrative Sex	M
PID-9	Patient Alias
PID-9.1	Family Name
PID-9.1.1	Surname
PID-9.1.2	Own Surname Prefix
PID-9.1.3	Own Surname
PID-9.1.4	Surname Prefix From Partner/Spouse
PID-9.1.5	Surname From Partner/Spouse
PID-9.2	Given Name
PID-9.3	Second and Further Given Names or Initials Thereof
PID-9.4	Suffix (e.g., JR or III)
PID-9.5	Prefix (e.g., DR)
PID-9.6	Degree (e.g., MD)
PID-9.7	Name Type Code
PID-9.8	Name Representation Code
PID-9.9	Name Context
PID-9.9.1	Identifier
PID-9.9.2	Text
PID-9.9.3	Name of Coding System
PID-9.9.4	Alternate Identifier
PID-9.9.5	Alternate Text
PID-9.9.6	Name of Alternate Coding System
PID-9.10	Name Validity Range
PID-9.10.1	Range Start Date/Time
PID-9.10.2	Range End Date/Time
PID-9.11	Name Assembly Order
PID-9.12	Effective Date
PID-9.12.1	Time
PID-9.12.2	Degree of Precision
PID-9.13	Expiration Date
PID-9.13.1	Time
PID-9.13.2	Degree of Precision
PID-9.14	Professional Suffix
PID-10	Race
PID-10.1	Identifier	2054-5
PID-10.2	Text	African American
PID-10.3	Name of Coding System	CDCREC
PID-10.4	Alternate Identifier
PID-10.5	Alternate Text
PID-10.6	Name of Alternate Coding System
PID-11	Patient Address
PID-11.1	Street Address
PID-11.1.1	Street or Mailing Address	125 Aspen Crescent
PID-11.1.2	Street Name
PID-11.1.3	Dwelling Number
PID-11.2	Other Designation
PID-11.3	City	Bozeman
PID-11.4	State or Province	MT
PID-11.5	Zip or Postal Code	59715
PID-11.6	Country	USA
PID-11.7	Address Type	P
PID-11.8	Other Geographic Designation
PID-11.9	County/Parish Code
PID-11.10	Census Tract
PID-11.11	Address Representation Code
PID-11.12	Address Validity Range
PID-11.12.1	Range Start Date/Time
PID-11.12.2	Range End Date/Time
PID-11.13	Effective Date
PID-11.13.1	Time
PID-11.13.2	Degree of Precision
PID-11.14	Expiration Date
PID-11.14.1	Time
PID-11.14.2	Degree of Precision
PID-12	County Code
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	PRN
PID-13.3	Telecommunication Equipment Type	PH
PID-13.4	Email Address
PID-13.5	Country Code
PID-13.6	Area/City Code	406
PID-13.7	Local Number	5551807
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-14	Phone Number - Business
PID-14.1	Telephone Number
PID-14.2	Telecommunication Use Code
PID-14.3	Telecommunication Equipment Type
PID-14.4	Email Address
PID-14.5	Country Code
PID-14.6	Area/City Code
PID-14.7	Local Number
PID-14.8	Extension
PID-14.9	Any Text
PID-14.10	Extension Prefix
PID-14.11	Speed Dial Code
PID-14.12	Unformatted Telephone number
PID-15	Primary Language
PID-15.1	Identifier
PID-15.2	Text
PID-15.3	Name of Coding System
PID-15.4	Alternate Identifier
PID-15.5	Alternate Text
PID-15.6	Name of Alternate Coding System
PID-16	Marital Status
PID-16.1	Identifier
PID-16.2	Text
PID-16.3	Name of Coding System
PID-16.4	Alternate Identifier
PID-16.5	Alternate Text
PID-16.6	Name of Alternate Coding System
PID-17	Religion
PID-17.1	Identifier
PID-17.2	Text
PID-17.3	Name of Coding System
PID-17.4	Alternate Identifier
PID-17.5	Alternate Text
PID-17.6	Name of Alternate Coding System
PID-18	Patient Account Number
PID-18.1	ID Number
PID-18.2	Check Digit
PID-18.3	Check Digit Scheme
PID-18.4	Assigning Authority
PID-18.4.1	Namespace ID
PID-18.4.2	Universal ID
PID-18.4.3	Universal ID Type
PID-18.5	Identifier Type Code
PID-18.6	Assigning Facility
PID-18.6.1	Namespace ID
PID-18.6.2	Universal ID
PID-18.6.3	Universal ID Type
PID-18.7	Effective Date
PID-18.8	Expiration Date
PID-18.9	Assigning Jurisdiction
PID-18.9.1	Identifier
PID-18.9.2	Text
PID-18.9.3	Name of Coding System
PID-18.9.4	Alternate Identifier
PID-18.9.5	Alternate Text
PID-18.9.6	Name of Alternate Coding System
PID-18.9.7	Coding System Version ID
PID-18.9.8	Alternate Coding System Version ID
PID-18.9.9	Original Text
PID-18.10	Assigning Agency or Department
PID-18.10.1	Identifier
PID-18.10.2	Text
PID-18.10.3	Name of Coding System
PID-18.10.4	Alternate Identifier
PID-18.10.5	Alternate Text
PID-18.10.6	Name of Alternate Coding System
PID-18.10.7	Coding System Version ID
PID-18.10.8	Alternate Coding System Version ID
PID-18.10.9	Original Text
PID-19	SSN Number - Patient
PID-20	Driver's License Number - Patient
PID-20.1	License Number
PID-20.2	Issuing State, Province, Country
PID-20.3	Expiration Date
PID-21	Mother's Identifier
PID-21.1	ID Number
PID-21.2	Check Digit
PID-21.3	Check Digit Scheme
PID-21.4	Assigning Authority
PID-21.4.1	Namespace ID
PID-21.4.2	Universal ID
PID-21.4.3	Universal ID Type
PID-21.5	Identifier Type Code
PID-21.6	Assigning Facility
PID-21.6.1	Namespace ID
PID-21.6.2	Universal ID
PID-21.6.3	Universal ID Type
PID-21.7	Effective Date
PID-21.8	Expiration Date
PID-21.9	Assigning Jurisdiction
PID-21.9.1	Identifier
PID-21.9.2	Text
PID-21.9.3	Name of Coding System
PID-21.9.4	Alternate Identifier
PID-21.9.5	Alternate Text
PID-21.9.6	Name of Alternate Coding System
PID-21.9.7	Coding System Version ID
PID-21.9.8	Alternate Coding System Version ID
PID-21.9.9	Original Text
PID-21.10	Assigning Agency or Department
PID-21.10.1	Identifier
PID-21.10.2	Text
PID-21.10.3	Name of Coding System
PID-21.10.4	Alternate Identifier
PID-21.10.5	Alternate Text
PID-21.10.6	Name of Alternate Coding System
PID-21.10.7	Coding System Version ID
PID-21.10.8	Alternate Coding System Version ID
PID-21.10.9	Original Text
PID-22	Ethnic Group
PID-22.1	Identifier	2186-5
PID-22.2	Text	Not Hispanic or Latino
PID-22.3	Name of Coding System	CDCREC
PID-22.4	Alternate Identifier
PID-22.5	Alternate Text
PID-22.6	Name of Alternate Coding System
PID-23	Birth Place
PID-24	Multiple Birth Indicator	Y
PID-25	Birth Order	2
PID-26	Citizenship
PID-26.1	Identifier
PID-26.2	Text
PID-26.3	Name of Coding System
PID-26.4	Alternate Identifier
PID-26.5	Alternate Text
PID-26.6	Name of Alternate Coding System
PID-27	Veterans Military Status
PID-27.1	Identifier
PID-27.2	Text
PID-27.3	Name of Coding System
PID-27.4	Alternate Identifier
PID-27.5	Alternate Text
PID-27.6	Name of Alternate Coding System
PID-28	Nationality
PID-28.1	Identifier
PID-28.2	Text
PID-28.3	Name of Coding System
PID-28.4	Alternate Identifier
PID-28.5	Alternate Text
PID-28.6	Name of Alternate Coding System
PID-29	Patient Death Date and Time
PID-29.1	Time
PID-29.2	Degree of Precision
PID-30	Patient Death Indicator	N
PID-31	Identity Unknown Indicator
PID-32	Identity Reliability Code
PID-33	Last Update Date/Time
PID-33.1	Time
PID-33.2	Degree of Precision
PID-34	Last Update Facility
PID-34.1	Namespace ID
PID-34.2	Universal ID
PID-34.3	Universal ID Type
PID-35	Species Code
PID-35.1	Identifier
PID-35.2	Text
PID-35.3	Name of Coding System
PID-35.4	Alternate Identifier
PID-35.5	Alternate Text
PID-35.6	Name of Alternate Coding System
PID-36	Breed Code
PID-36.1	Identifier
PID-36.2	Text
PID-36.3	Name of Coding System
PID-36.4	Alternate Identifier
PID-36.5	Alternate Text
PID-36.6	Name of Alternate Coding System
PID-37	Strain
PID-38	Production Class Code
PID-38.1	Identifier
PID-38.2	Text
PID-38.3	Name of Coding System
PID-38.4	Alternate Identifier
PID-38.5	Alternate Text
PID-38.6	Name of Alternate Coding System
PID-39	Tribal Citizenship
PID-39.1	Identifier
PID-39.2	Text
PID-39.3	Name of Coding System
PID-39.4	Alternate Identifier
PID-39.5	Alternate Text
PID-39.6	Name of Alternate Coding System
PID-39.7	Coding System Version ID
PID-39.8	Alternate Coding System Version ID
PID-39.9	Original Text

PD1 : Patient Additional Demographic

Location	Data Elemenmt	Data	Categrization
PD1-1	Living Dependency
PD1-2	Living Arrangement
PD1-3	Patient Primary Facility
PD1-3.1	Organization Name
PD1-3.2	Organization Name Type Code
PD1-3.3	ID Number
PD1-3.4	Check Digit
PD1-3.5	Check Digit Scheme
PD1-3.6	Assigning Authority
PD1-3.6.1	Namespace ID
PD1-3.6.2	Universal ID
PD1-3.6.3	Universal ID Type
PD1-3.7	Identifier Type Code
PD1-3.8	Assigning Facility
PD1-3.8.1	Namespace ID
PD1-3.8.2	Universal ID
PD1-3.8.3	Universal ID Type
PD1-3.9	Name Representation Code
PD1-3.10	Organization Identifier
PD1-4	Patient Primary Care Provider Name & ID No.
PD1-4.1	ID Number
PD1-4.2	Family Name
PD1-4.2.1	Surname
PD1-4.2.2	Own Surname Prefix
PD1-4.2.3	Own Surname
PD1-4.2.4	Surname Prefix From Partner/Spouse
PD1-4.2.5	Surname From Partner/Spouse
PD1-4.3	Given Name
PD1-4.4	Second and Further Given Names or Initials Thereof
PD1-4.5	Suffix (e.g., JR or III)
PD1-4.6	Prefix (e.g., DR)
PD1-4.7	Degree (e.g., MD)
PD1-4.8	Source Table
PD1-4.9	Assigning Authority
PD1-4.9.1	Namespace ID
PD1-4.9.2	Universal ID
PD1-4.9.3	Universal ID Type
PD1-4.10	Name Type Code
PD1-4.11	Identifier Check Digit
PD1-4.12	Check Digit Scheme
PD1-4.13	Identifier Type Code
PD1-4.14	Assigning Facility
PD1-4.14.1	Namespace ID
PD1-4.14.2	Universal ID
PD1-4.14.3	Universal ID Type
PD1-4.15	Name Representation Code
PD1-4.16	Name Context
PD1-4.16.1	Identifier
PD1-4.16.2	Text
PD1-4.16.3	Name of Coding System
PD1-4.16.4	Alternate Identifier
PD1-4.16.5	Alternate Text
PD1-4.16.6	Name of Alternate Coding System
PD1-4.17	Name Validity Range
PD1-4.17.1	Range Start Date/Time
PD1-4.17.2	Range End Date/Time
PD1-4.18	Name Assembly Order
PD1-4.19	Effective Date
PD1-4.19.1	Time
PD1-4.19.2	Degree of Precision
PD1-4.20	Expiration Date
PD1-4.20.1	Time
PD1-4.20.2	Degree of Precision
PD1-4.21	Professional Suffix
PD1-4.22	Assigning Jurisdiction
PD1-4.22.1	Identifier
PD1-4.22.2	Text
PD1-4.22.3	Name of Coding System
PD1-4.22.4	Alternate Identifier
PD1-4.22.5	Alternate Text
PD1-4.22.6	Name of Alternate Coding System
PD1-4.22.7	Coding System Version ID
PD1-4.22.8	Alternate Coding System Version ID
PD1-4.22.9	Original Text
PD1-4.23	Assigning Agency or Department
PD1-4.23.1	Identifier
PD1-4.23.2	Text
PD1-4.23.3	Name of Coding System
PD1-4.23.4	Alternate Identifier
PD1-4.23.5	Alternate Text
PD1-4.23.6	Name of Alternate Coding System
PD1-4.23.7	Coding System Version ID
PD1-4.23.8	Alternate Coding System Version ID
PD1-4.23.9	Original Text
PD1-5	Student Indicator
PD1-6	Handicap
PD1-7	Living Will Code
PD1-8	Organ Donor Code
PD1-9	Separate Bill
PD1-10	Duplicate Patient
PD1-10.1	ID Number
PD1-10.2	Check Digit
PD1-10.3	Check Digit Scheme
PD1-10.4	Assigning Authority
PD1-10.4.1	Namespace ID
PD1-10.4.2	Universal ID
PD1-10.4.3	Universal ID Type
PD1-10.5	Identifier Type Code
PD1-10.6	Assigning Facility
PD1-10.6.1	Namespace ID
PD1-10.6.2	Universal ID
PD1-10.6.3	Universal ID Type
PD1-10.7	Effective Date
PD1-10.8	Expiration Date
PD1-10.9	Assigning Jurisdiction
PD1-10.9.1	Identifier
PD1-10.9.2	Text
PD1-10.9.3	Name of Coding System
PD1-10.9.4	Alternate Identifier
PD1-10.9.5	Alternate Text
PD1-10.9.6	Name of Alternate Coding System
PD1-10.9.7	Coding System Version ID
PD1-10.9.8	Alternate Coding System Version ID
PD1-10.9.9	Original Text
PD1-10.10	Assigning Agency or Department
PD1-10.10.1	Identifier
PD1-10.10.2	Text
PD1-10.10.3	Name of Coding System
PD1-10.10.4	Alternate Identifier
PD1-10.10.5	Alternate Text
PD1-10.10.6	Name of Alternate Coding System
PD1-10.10.7	Coding System Version ID
PD1-10.10.8	Alternate Coding System Version ID
PD1-10.10.9	Original Text
PD1-11	Publicity Code
PD1-11.1	Identifier	04
PD1-11.2	Text	Reminder only - any method
PD1-11.3	Name of Coding System	HL70215
PD1-11.4	Alternate Identifier
PD1-11.5	Alternate Text
PD1-11.6	Name of Alternate Coding System
PD1-12	Protection Indicator	Y
PD1-13	Protection Indicator Effective Date	20150624
PD1-14	Place of Worship
PD1-14.1	Organization Name
PD1-14.2	Organization Name Type Code
PD1-14.3	ID Number
PD1-14.4	Check Digit
PD1-14.5	Check Digit Scheme
PD1-14.6	Assigning Authority
PD1-14.6.1	Namespace ID
PD1-14.6.2	Universal ID
PD1-14.6.3	Universal ID Type
PD1-14.7	Identifier Type Code
PD1-14.8	Assigning Facility
PD1-14.8.1	Namespace ID
PD1-14.8.2	Universal ID
PD1-14.8.3	Universal ID Type
PD1-14.9	Name Representation Code
PD1-14.10	Organization Identifier
PD1-15	Advance Directive Code
PD1-15.1	Identifier
PD1-15.2	Text
PD1-15.3	Name of Coding System
PD1-15.4	Alternate Identifier
PD1-15.5	Alternate Text
PD1-15.6	Name of Alternate Coding System
PD1-16	Immunization Registry Status	A
PD1-17	Immunization Registry Status Effective Date	20131203
PD1-18	Publicity Code Effective Date	20150624
PD1-19	Military Branch
PD1-20	Military Rank/Grade
PD1-21	Military Status

NK1 : Next of Kin / Associated Parties

Location	Data Elemenmt	Data	Categrization
NK1-1	Set ID - NK1	1
NK1-2	Name
NK1-2.1	Family Name
NK1-2.1.1	Surname	Johnson
NK1-2.1.2	Own Surname Prefix
NK1-2.1.3	Own Surname
NK1-2.1.4	Surname Prefix From Partner/Spouse
NK1-2.1.5	Surname From Partner/Spouse
NK1-2.2	Given Name	James
NK1-2.3	Second and Further Given Names or Initials Thereof	Terrance
NK1-2.4	Suffix (e.g., JR or III)
NK1-2.5	Prefix (e.g., DR)
NK1-2.6	Degree (e.g., MD)
NK1-2.7	Name Type Code	L
NK1-2.8	Name Representation Code
NK1-2.9	Name Context
NK1-2.9.1	Identifier
NK1-2.9.2	Text
NK1-2.9.3	Name of Coding System
NK1-2.9.4	Alternate Identifier
NK1-2.9.5	Alternate Text
NK1-2.9.6	Name of Alternate Coding System
NK1-2.10	Name Validity Range
NK1-2.10.1	Range Start Date/Time
NK1-2.10.2	Range End Date/Time
NK1-2.11	Name Assembly Order
NK1-2.12	Effective Date
NK1-2.12.1	Time
NK1-2.12.2	Degree of Precision
NK1-2.13	Expiration Date
NK1-2.13.1	Time
NK1-2.13.2	Degree of Precision
NK1-2.14	Professional Suffix
NK1-3	Relationship
NK1-3.1	Identifier	FTH
NK1-3.2	Text	Father
NK1-3.3	Name of Coding System	HL70063
NK1-3.4	Alternate Identifier
NK1-3.5	Alternate Text
NK1-3.6	Name of Alternate Coding System
NK1-4	Address
NK1-4.1	Street Address
NK1-4.1.1	Street or Mailing Address	125 Aspen Crescent
NK1-4.1.2	Street Name
NK1-4.1.3	Dwelling Number
NK1-4.2	Other Designation
NK1-4.3	City	Bozeman
NK1-4.4	State or Province	MT
NK1-4.5	Zip or Postal Code	59715
NK1-4.6	Country	USA
NK1-4.7	Address Type	P
NK1-4.8	Other Geographic Designation
NK1-4.9	County/Parish Code
NK1-4.10	Census Tract
NK1-4.11	Address Representation Code
NK1-4.12	Address Validity Range
NK1-4.12.1	Range Start Date/Time
NK1-4.12.2	Range End Date/Time
NK1-4.13	Effective Date
NK1-4.13.1	Time
NK1-4.13.2	Degree of Precision
NK1-4.14	Expiration Date
NK1-4.14.1	Time
NK1-4.14.2	Degree of Precision
NK1-5	Phone Number
NK1-5.1	Telephone Number
NK1-5.2	Telecommunication Use Code	PRN
NK1-5.3	Telecommunication Equipment Type	PH
NK1-5.4	Email Address
NK1-5.5	Country Code
NK1-5.6	Area/City Code	406
NK1-5.7	Local Number	5551807
NK1-5.8	Extension
NK1-5.9	Any Text
NK1-5.10	Extension Prefix
NK1-5.11	Speed Dial Code
NK1-5.12	Unformatted Telephone number
NK1-6	Business Phone Number
NK1-6.1	Telephone Number
NK1-6.2	Telecommunication Use Code
NK1-6.3	Telecommunication Equipment Type
NK1-6.4	Email Address
NK1-6.5	Country Code
NK1-6.6	Area/City Code
NK1-6.7	Local Number
NK1-6.8	Extension
NK1-6.9	Any Text
NK1-6.10	Extension Prefix
NK1-6.11	Speed Dial Code
NK1-6.12	Unformatted Telephone number
NK1-7	Contact Role
NK1-7.1	Identifier
NK1-7.2	Text
NK1-7.3	Name of Coding System
NK1-7.4	Alternate Identifier
NK1-7.5	Alternate Text
NK1-7.6	Name of Alternate Coding System
NK1-8	Start Date
NK1-9	End Date
NK1-10	Next of Kin / Associated Parties Job Title
NK1-11	Next of Kin / Associated Parties Job Code/Class
NK1-11.1	Job Code
NK1-11.2	Job Class
NK1-11.3	Job Description Text
NK1-12	Next of Kin / Associated Parties Employee Number
NK1-12.1	ID Number
NK1-12.2	Check Digit
NK1-12.3	Check Digit Scheme
NK1-12.4	Assigning Authority
NK1-12.4.1	Namespace ID
NK1-12.4.2	Universal ID
NK1-12.4.3	Universal ID Type
NK1-12.5	Identifier Type Code
NK1-12.6	Assigning Facility
NK1-12.6.1	Namespace ID
NK1-12.6.2	Universal ID
NK1-12.6.3	Universal ID Type
NK1-12.7	Effective Date
NK1-12.8	Expiration Date
NK1-12.9	Assigning Jurisdiction
NK1-12.9.1	Identifier
NK1-12.9.2	Text
NK1-12.9.3	Name of Coding System
NK1-12.9.4	Alternate Identifier
NK1-12.9.5	Alternate Text
NK1-12.9.6	Name of Alternate Coding System
NK1-12.9.7	Coding System Version ID
NK1-12.9.8	Alternate Coding System Version ID
NK1-12.9.9	Original Text
NK1-12.10	Assigning Agency or Department
NK1-12.10.1	Identifier
NK1-12.10.2	Text
NK1-12.10.3	Name of Coding System
NK1-12.10.4	Alternate Identifier
NK1-12.10.5	Alternate Text
NK1-12.10.6	Name of Alternate Coding System
NK1-12.10.7	Coding System Version ID
NK1-12.10.8	Alternate Coding System Version ID
NK1-12.10.9	Original Text
NK1-13	Organization Name - NK1
NK1-13.1	Organization Name
NK1-13.2	Organization Name Type Code
NK1-13.3	ID Number
NK1-13.4	Check Digit
NK1-13.5	Check Digit Scheme
NK1-13.6	Assigning Authority
NK1-13.6.1	Namespace ID
NK1-13.6.2	Universal ID
NK1-13.6.3	Universal ID Type
NK1-13.7	Identifier Type Code
NK1-13.8	Assigning Facility
NK1-13.8.1	Namespace ID
NK1-13.8.2	Universal ID
NK1-13.8.3	Universal ID Type
NK1-13.9	Name Representation Code
NK1-13.10	Organization Identifier
NK1-14	Marital Status
NK1-14.1	Identifier
NK1-14.2	Text
NK1-14.3	Name of Coding System
NK1-14.4	Alternate Identifier
NK1-14.5	Alternate Text
NK1-14.6	Name of Alternate Coding System
NK1-15	Administrative Sex
NK1-16	Date/Time of Birth
NK1-16.1	Time
NK1-16.2	Degree of Precision
NK1-17	Living Dependency
NK1-18	Ambulatory Status
NK1-19	Citizenship
NK1-19.1	Identifier
NK1-19.2	Text
NK1-19.3	Name of Coding System
NK1-19.4	Alternate Identifier
NK1-19.5	Alternate Text
NK1-19.6	Name of Alternate Coding System
NK1-20	Primary Language
NK1-20.1	Identifier
NK1-20.2	Text
NK1-20.3	Name of Coding System
NK1-20.4	Alternate Identifier
NK1-20.5	Alternate Text
NK1-20.6	Name of Alternate Coding System
NK1-21	Living Arrangement
NK1-22	Publicity Code
NK1-22.1	Identifier
NK1-22.2	Text
NK1-22.3	Name of Coding System
NK1-22.4	Alternate Identifier
NK1-22.5	Alternate Text
NK1-22.6	Name of Alternate Coding System
NK1-23	Protection Indicator
NK1-24	Student Indicator
NK1-25	Religion
NK1-25.1	Identifier
NK1-25.2	Text
NK1-25.3	Name of Coding System
NK1-25.4	Alternate Identifier
NK1-25.5	Alternate Text
NK1-25.6	Name of Alternate Coding System
NK1-26	Mother's Maiden Name
NK1-26.1	Family Name
NK1-26.1.1	Surname
NK1-26.1.2	Own Surname Prefix
NK1-26.1.3	Own Surname
NK1-26.1.4	Surname Prefix From Partner/Spouse
NK1-26.1.5	Surname From Partner/Spouse
NK1-26.2	Given Name
NK1-26.3	Second and Further Given Names or Initials Thereof
NK1-26.4	Suffix (e.g., JR or III)
NK1-26.5	Prefix (e.g., DR)
NK1-26.6	Degree (e.g., MD)
NK1-26.7	Name Type Code
NK1-26.8	Name Representation Code
NK1-26.9	Name Context
NK1-26.9.1	Identifier
NK1-26.9.2	Text
NK1-26.9.3	Name of Coding System
NK1-26.9.4	Alternate Identifier
NK1-26.9.5	Alternate Text
NK1-26.9.6	Name of Alternate Coding System
NK1-26.10	Name Validity Range
NK1-26.10.1	Range Start Date/Time
NK1-26.10.2	Range End Date/Time
NK1-26.11	Name Assembly Order
NK1-26.12	Effective Date
NK1-26.12.1	Time
NK1-26.12.2	Degree of Precision
NK1-26.13	Expiration Date
NK1-26.13.1	Time
NK1-26.13.2	Degree of Precision
NK1-26.14	Professional Suffix
NK1-27	Nationality
NK1-27.1	Identifier
NK1-27.2	Text
NK1-27.3	Name of Coding System
NK1-27.4	Alternate Identifier
NK1-27.5	Alternate Text
NK1-27.6	Name of Alternate Coding System
NK1-28	Ethnic Group
NK1-28.1	Identifier
NK1-28.2	Text
NK1-28.3	Name of Coding System
NK1-28.4	Alternate Identifier
NK1-28.5	Alternate Text
NK1-28.6	Name of Alternate Coding System
NK1-29	Contact Reason
NK1-29.1	Identifier
NK1-29.2	Text
NK1-29.3	Name of Coding System
NK1-29.4	Alternate Identifier
NK1-29.5	Alternate Text
NK1-29.6	Name of Alternate Coding System
NK1-30	Contact Person's Name
NK1-30.1	Family Name
NK1-30.1.1	Surname
NK1-30.1.2	Own Surname Prefix
NK1-30.1.3	Own Surname
NK1-30.1.4	Surname Prefix From Partner/Spouse
NK1-30.1.5	Surname From Partner/Spouse
NK1-30.2	Given Name
NK1-30.3	Second and Further Given Names or Initials Thereof
NK1-30.4	Suffix (e.g., JR or III)
NK1-30.5	Prefix (e.g., DR)
NK1-30.6	Degree (e.g., MD)
NK1-30.7	Name Type Code
NK1-30.8	Name Representation Code
NK1-30.9	Name Context
NK1-30.9.1	Identifier
NK1-30.9.2	Text
NK1-30.9.3	Name of Coding System
NK1-30.9.4	Alternate Identifier
NK1-30.9.5	Alternate Text
NK1-30.9.6	Name of Alternate Coding System
NK1-30.10	Name Validity Range
NK1-30.10.1	Range Start Date/Time
NK1-30.10.2	Range End Date/Time
NK1-30.11	Name Assembly Order
NK1-30.12	Effective Date
NK1-30.12.1	Time
NK1-30.12.2	Degree of Precision
NK1-30.13	Expiration Date
NK1-30.13.1	Time
NK1-30.13.2	Degree of Precision
NK1-30.14	Professional Suffix
NK1-31	Contact Person's Telephone Number
NK1-31.1	Telephone Number
NK1-31.2	Telecommunication Use Code
NK1-31.3	Telecommunication Equipment Type
NK1-31.4	Email Address
NK1-31.5	Country Code
NK1-31.6	Area/City Code
NK1-31.7	Local Number
NK1-31.8	Extension
NK1-31.9	Any Text
NK1-31.10	Extension Prefix
NK1-31.11	Speed Dial Code
NK1-31.12	Unformatted Telephone number
NK1-32	Contact Person's Address
NK1-32.1	Street Address
NK1-32.1.1	Street or Mailing Address
NK1-32.1.2	Street Name
NK1-32.1.3	Dwelling Number
NK1-32.2	Other Designation
NK1-32.3	City
NK1-32.4	State or Province
NK1-32.5	Zip or Postal Code
NK1-32.6	Country
NK1-32.7	Address Type
NK1-32.8	Other Geographic Designation
NK1-32.9	County/Parish Code
NK1-32.10	Census Tract
NK1-32.11	Address Representation Code
NK1-32.12	Address Validity Range
NK1-32.12.1	Range Start Date/Time
NK1-32.12.2	Range End Date/Time
NK1-32.13	Effective Date
NK1-32.13.1	Time
NK1-32.13.2	Degree of Precision
NK1-32.14	Expiration Date
NK1-32.14.1	Time
NK1-32.14.2	Degree of Precision
NK1-33	Next of Kin/Associated Party's Identifiers
NK1-33.1	ID Number
NK1-33.2	Check Digit
NK1-33.3	Check Digit Scheme
NK1-33.4	Assigning Authority
NK1-33.4.1	Namespace ID
NK1-33.4.2	Universal ID
NK1-33.4.3	Universal ID Type
NK1-33.5	Identifier Type Code
NK1-33.6	Assigning Facility
NK1-33.6.1	Namespace ID
NK1-33.6.2	Universal ID
NK1-33.6.3	Universal ID Type
NK1-33.7	Effective Date
NK1-33.8	Expiration Date
NK1-33.9	Assigning Jurisdiction
NK1-33.9.1	Identifier
NK1-33.9.2	Text
NK1-33.9.3	Name of Coding System
NK1-33.9.4	Alternate Identifier
NK1-33.9.5	Alternate Text
NK1-33.9.6	Name of Alternate Coding System
NK1-33.9.7	Coding System Version ID
NK1-33.9.8	Alternate Coding System Version ID
NK1-33.9.9	Original Text
NK1-33.10	Assigning Agency or Department
NK1-33.10.1	Identifier
NK1-33.10.2	Text
NK1-33.10.3	Name of Coding System
NK1-33.10.4	Alternate Identifier
NK1-33.10.5	Alternate Text
NK1-33.10.6	Name of Alternate Coding System
NK1-33.10.7	Coding System Version ID
NK1-33.10.8	Alternate Coding System Version ID
NK1-33.10.9	Original Text
NK1-34	Job Status
NK1-35	Race
NK1-35.1	Identifier
NK1-35.2	Text
NK1-35.3	Name of Coding System
NK1-35.4	Alternate Identifier
NK1-35.5	Alternate Text
NK1-35.6	Name of Alternate Coding System
NK1-36	Handicap
NK1-37	Contact Person Social Security Number
NK1-38	Next of Kin Birth Place
NK1-39	VIP Indicator

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	773
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	22119
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150624
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	83
RXA-5.2	Text	Hep A, ped/adol, 2 dose
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	68736
RXA-16	Substance Expiration Date
RXA-16.1	Time	20150729
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	MSD
RXA-17.2	Text	Merck and Co., Inc.
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	PA
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	Intramuscular
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier	LT
RXR-2.2	Text	Left Thigh
RXR-2.3	Name of Coding System	HL70163
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	PHC70
OBX-5.2	Text	Private
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V01
OBX-5.2	Text	Not VFC Eligible
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300004211111025
OBX-5.2	Text	Hepatitis A VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150624
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

Test Data Specification

Patient Information

Element	Data
Patient Name	Daryl Andre Johnson
Mother's Maiden Name
ID Number	76511
Date/Time of Birth	12/03/2013
Administrative Sex	Male
Patient Address	125 Aspen Crescent Bozeman MT 59715 USA
Local Number	(406)555-1807
Race	African American
Ethnic Group	Not Hispanic or Latino
Birth Order	2

Immunization Registry Information

Element	Data
Immunization Registry Status	A
Immunization Registry Status Effective Date	12/03/2013
Publicity Code	Reminder only - any method
Publicity Code Effective Date	06/24/2015
Protection Indicator	Yes
Protection Indicator Effective Date	06/24/2015

Guardian or Responsible Party

Element	Data
Name	James Terrance Johnson
Relationship	Father
Address	125 Aspen Crescent Bozeman MT 59715 USA
Phone Number	(406)555-1807

Vaccine Administration Information

Element	Data
Administered Code	Hep A, ped/adol, 2 dose
Date/Time Start of Administration	06/24/2015
Administered Amount	0.5
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	68736
Substance Expiration Date	07/29/2015
Substance Manufacturer Name	Merck and Co., Inc.
Substance/Treatment Refusal Reason
Completion Status	PA
Action Code	Add
Route	Intramuscular
Administration Site	Left Thigh
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Private
Vaccine Funding Program Eligibility	Not VFC Eligible
Document Type	Hepatitis A VIS
Date Vis Presented

1.5.2. Consume acknowledgement message

Tests the ability to consume a valid ACK message

Test Story

Description

The IIS returns a positive acknowledgement message indicating that no errors were found during the course of filing the message.

Comments

No Comments

PreCondition

A VXU message is generated by the EHR.

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

The acknowledgement message is consumed by the system responsible for the content of the administration message without error.

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	IIS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	wcEHR
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624093847.807-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	ACK
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	ACK
MSH-10	Message Control ID	51291
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z23
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	IIS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	wcEHR
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AA
MSA-2	Message Control ID	29407
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

1.6. TC-6

Child administration with refusal

Test Story

Description

A child is seen at a clinic. A new vaccinations are administered but an additional one is refused by the parents.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

This test case assesses the ability of the EHR to create an administration message for child whose parents have refused an immunization.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

1.6.1. Send administration message

Tests the ability to create a valid VXU^V04 message

Test Story

Description

A 1 year old male, Tyler Owen Banks, is brought to the West Clinic for a well child visit. He is accompanied by his father Karl Leonard Banks. A clinic staff member collects basic patient demographic information including name, date of birth and sex. A clinic provider, Joe Smith (physician ID 123) reviews the patient’s vaccination history and determines that the child requires Hib, Hep A, MMR and Varicella vaccinations. The child is covered by insurance and does not qualify for all Vaccine For Children (VFC) supplied vaccines. The father is given the appropriate Vaccine Information Sheets (VIS) to review. After reading them, the father agrees that the child should receive the Hib, Hep A and MMR vaccines but refuses the Varicella vaccine. He also agrees that the data should be shared once it is incorporated into the local IIS. Appropriate doses of Hib, Hep A and MMR are selected from the clinic’s stock of privately funded vaccines. A clinician, Lily Jackson (ID 456) prepares and administers the doses to the patient and then enters the data into the EHR and transmits it to the IIS.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	wcEHR
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	IIS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624093847.808-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	VXU
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	VXU_V04
MSH-10	Message Control ID	18019
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER
MSH-16	Application Acknowledgment Type	AL
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z22
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	wcEHR
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	IIS
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

PID : Patient Identification

Location	Data Elemenmt	Data	Categrization
PID-1	Set ID - PID	1
PID-2	Patient ID
PID-2.1	ID Number
PID-2.2	Check Digit
PID-2.3	Check Digit Scheme
PID-2.4	Assigning Authority
PID-2.4.1	Namespace ID
PID-2.4.2	Universal ID
PID-2.4.3	Universal ID Type
PID-2.5	Identifier Type Code
PID-2.6	Assigning Facility
PID-2.6.1	Namespace ID
PID-2.6.2	Universal ID
PID-2.6.3	Universal ID Type
PID-2.7	Effective Date
PID-2.8	Expiration Date
PID-2.9	Assigning Jurisdiction
PID-2.9.1	Identifier
PID-2.9.2	Text
PID-2.9.3	Name of Coding System
PID-2.9.4	Alternate Identifier
PID-2.9.5	Alternate Text
PID-2.9.6	Name of Alternate Coding System
PID-2.9.7	Coding System Version ID
PID-2.9.8	Alternate Coding System Version ID
PID-2.9.9	Original Text
PID-2.10	Assigning Agency or Department
PID-2.10.1	Identifier
PID-2.10.2	Text
PID-2.10.3	Name of Coding System
PID-2.10.4	Alternate Identifier
PID-2.10.5	Alternate Text
PID-2.10.6	Name of Alternate Coding System
PID-2.10.7	Coding System Version ID
PID-2.10.8	Alternate Coding System Version ID
PID-2.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	8891
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	wcEHR
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	MR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-4	Alternate Patient ID - PID
PID-4.1	ID Number
PID-4.2	Check Digit
PID-4.3	Check Digit Scheme
PID-4.4	Assigning Authority
PID-4.4.1	Namespace ID
PID-4.4.2	Universal ID
PID-4.4.3	Universal ID Type
PID-4.5	Identifier Type Code
PID-4.6	Assigning Facility
PID-4.6.1	Namespace ID
PID-4.6.2	Universal ID
PID-4.6.3	Universal ID Type
PID-4.7	Effective Date
PID-4.8	Expiration Date
PID-4.9	Assigning Jurisdiction
PID-4.9.1	Identifier
PID-4.9.2	Text
PID-4.9.3	Name of Coding System
PID-4.9.4	Alternate Identifier
PID-4.9.5	Alternate Text
PID-4.9.6	Name of Alternate Coding System
PID-4.9.7	Coding System Version ID
PID-4.9.8	Alternate Coding System Version ID
PID-4.9.9	Original Text
PID-4.10	Assigning Agency or Department
PID-4.10.1	Identifier
PID-4.10.2	Text
PID-4.10.3	Name of Coding System
PID-4.10.4	Alternate Identifier
PID-4.10.5	Alternate Text
PID-4.10.6	Name of Alternate Coding System
PID-4.10.7	Coding System Version ID
PID-4.10.8	Alternate Coding System Version ID
PID-4.10.9	Original Text
PID-5	Patient Name
PID-5.1	Family Name
PID-5.1.1	Surname	Banks
PID-5.1.2	Own Surname Prefix
PID-5.1.3	Own Surname
PID-5.1.4	Surname Prefix From Partner/Spouse
PID-5.1.5	Surname From Partner/Spouse
PID-5.2	Given Name	Tyler
PID-5.3	Second and Further Given Names or Initials Thereof	Owen
PID-5.4	Suffix (e.g., JR or III)
PID-5.5	Prefix (e.g., DR)
PID-5.6	Degree (e.g., MD)
PID-5.7	Name Type Code	L
PID-5.8	Name Representation Code
PID-5.9	Name Context
PID-5.9.1	Identifier
PID-5.9.2	Text
PID-5.9.3	Name of Coding System
PID-5.9.4	Alternate Identifier
PID-5.9.5	Alternate Text
PID-5.9.6	Name of Alternate Coding System
PID-5.10	Name Validity Range
PID-5.10.1	Range Start Date/Time
PID-5.10.2	Range End Date/Time
PID-5.11	Name Assembly Order
PID-5.12	Effective Date
PID-5.12.1	Time
PID-5.12.2	Degree of Precision
PID-5.13	Expiration Date
PID-5.13.1	Time
PID-5.13.2	Degree of Precision
PID-5.14	Professional Suffix
PID-6	Mother's Maiden Name
PID-6.1	Family Name
PID-6.1.1	Surname
PID-6.1.2	Own Surname Prefix
PID-6.1.3	Own Surname
PID-6.1.4	Surname Prefix From Partner/Spouse
PID-6.1.5	Surname From Partner/Spouse
PID-6.2	Given Name
PID-6.3	Second and Further Given Names or Initials Thereof
PID-6.4	Suffix (e.g., JR or III)
PID-6.5	Prefix (e.g., DR)
PID-6.6	Degree (e.g., MD)
PID-6.7	Name Type Code
PID-6.8	Name Representation Code
PID-6.9	Name Context
PID-6.9.1	Identifier
PID-6.9.2	Text
PID-6.9.3	Name of Coding System
PID-6.9.4	Alternate Identifier
PID-6.9.5	Alternate Text
PID-6.9.6	Name of Alternate Coding System
PID-6.10	Name Validity Range
PID-6.10.1	Range Start Date/Time
PID-6.10.2	Range End Date/Time
PID-6.11	Name Assembly Order
PID-6.12	Effective Date
PID-6.12.1	Time
PID-6.12.2	Degree of Precision
PID-6.13	Expiration Date
PID-6.13.1	Time
PID-6.13.2	Degree of Precision
PID-6.14	Professional Suffix
PID-7	Date/Time of Birth
PID-7.1	Time	20140602
PID-7.2	Degree of Precision
PID-8	Administrative Sex	M
PID-9	Patient Alias
PID-9.1	Family Name
PID-9.1.1	Surname
PID-9.1.2	Own Surname Prefix
PID-9.1.3	Own Surname
PID-9.1.4	Surname Prefix From Partner/Spouse
PID-9.1.5	Surname From Partner/Spouse
PID-9.2	Given Name
PID-9.3	Second and Further Given Names or Initials Thereof
PID-9.4	Suffix (e.g., JR or III)
PID-9.5	Prefix (e.g., DR)
PID-9.6	Degree (e.g., MD)
PID-9.7	Name Type Code
PID-9.8	Name Representation Code
PID-9.9	Name Context
PID-9.9.1	Identifier
PID-9.9.2	Text
PID-9.9.3	Name of Coding System
PID-9.9.4	Alternate Identifier
PID-9.9.5	Alternate Text
PID-9.9.6	Name of Alternate Coding System
PID-9.10	Name Validity Range
PID-9.10.1	Range Start Date/Time
PID-9.10.2	Range End Date/Time
PID-9.11	Name Assembly Order
PID-9.12	Effective Date
PID-9.12.1	Time
PID-9.12.2	Degree of Precision
PID-9.13	Expiration Date
PID-9.13.1	Time
PID-9.13.2	Degree of Precision
PID-9.14	Professional Suffix
PID-10	Race
PID-10.1	Identifier	2106-3
PID-10.2	Text	White
PID-10.3	Name of Coding System	CDCREC
PID-10.4	Alternate Identifier
PID-10.5	Alternate Text
PID-10.6	Name of Alternate Coding System
PID-11	Patient Address
PID-11.1	Street Address
PID-11.1.1	Street or Mailing Address	924 Sycamore Lane
PID-11.1.2	Street Name
PID-11.1.3	Dwelling Number
PID-11.2	Other Designation
PID-11.3	City	Bozeman
PID-11.4	State or Province	MT
PID-11.5	Zip or Postal Code	59715
PID-11.6	Country	USA
PID-11.7	Address Type	P
PID-11.8	Other Geographic Designation
PID-11.9	County/Parish Code
PID-11.10	Census Tract
PID-11.11	Address Representation Code
PID-11.12	Address Validity Range
PID-11.12.1	Range Start Date/Time
PID-11.12.2	Range End Date/Time
PID-11.13	Effective Date
PID-11.13.1	Time
PID-11.13.2	Degree of Precision
PID-11.14	Expiration Date
PID-11.14.1	Time
PID-11.14.2	Degree of Precision
PID-12	County Code
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	PRN
PID-13.3	Telecommunication Equipment Type	PH
PID-13.4	Email Address
PID-13.5	Country Code
PID-13.6	Area/City Code	406
PID-13.7	Local Number	5555835
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-14	Phone Number - Business
PID-14.1	Telephone Number
PID-14.2	Telecommunication Use Code
PID-14.3	Telecommunication Equipment Type
PID-14.4	Email Address
PID-14.5	Country Code
PID-14.6	Area/City Code
PID-14.7	Local Number
PID-14.8	Extension
PID-14.9	Any Text
PID-14.10	Extension Prefix
PID-14.11	Speed Dial Code
PID-14.12	Unformatted Telephone number
PID-15	Primary Language
PID-15.1	Identifier
PID-15.2	Text
PID-15.3	Name of Coding System
PID-15.4	Alternate Identifier
PID-15.5	Alternate Text
PID-15.6	Name of Alternate Coding System
PID-16	Marital Status
PID-16.1	Identifier
PID-16.2	Text
PID-16.3	Name of Coding System
PID-16.4	Alternate Identifier
PID-16.5	Alternate Text
PID-16.6	Name of Alternate Coding System
PID-17	Religion
PID-17.1	Identifier
PID-17.2	Text
PID-17.3	Name of Coding System
PID-17.4	Alternate Identifier
PID-17.5	Alternate Text
PID-17.6	Name of Alternate Coding System
PID-18	Patient Account Number
PID-18.1	ID Number
PID-18.2	Check Digit
PID-18.3	Check Digit Scheme
PID-18.4	Assigning Authority
PID-18.4.1	Namespace ID
PID-18.4.2	Universal ID
PID-18.4.3	Universal ID Type
PID-18.5	Identifier Type Code
PID-18.6	Assigning Facility
PID-18.6.1	Namespace ID
PID-18.6.2	Universal ID
PID-18.6.3	Universal ID Type
PID-18.7	Effective Date
PID-18.8	Expiration Date
PID-18.9	Assigning Jurisdiction
PID-18.9.1	Identifier
PID-18.9.2	Text
PID-18.9.3	Name of Coding System
PID-18.9.4	Alternate Identifier
PID-18.9.5	Alternate Text
PID-18.9.6	Name of Alternate Coding System
PID-18.9.7	Coding System Version ID
PID-18.9.8	Alternate Coding System Version ID
PID-18.9.9	Original Text
PID-18.10	Assigning Agency or Department
PID-18.10.1	Identifier
PID-18.10.2	Text
PID-18.10.3	Name of Coding System
PID-18.10.4	Alternate Identifier
PID-18.10.5	Alternate Text
PID-18.10.6	Name of Alternate Coding System
PID-18.10.7	Coding System Version ID
PID-18.10.8	Alternate Coding System Version ID
PID-18.10.9	Original Text
PID-19	SSN Number - Patient
PID-20	Driver's License Number - Patient
PID-20.1	License Number
PID-20.2	Issuing State, Province, Country
PID-20.3	Expiration Date
PID-21	Mother's Identifier
PID-21.1	ID Number
PID-21.2	Check Digit
PID-21.3	Check Digit Scheme
PID-21.4	Assigning Authority
PID-21.4.1	Namespace ID
PID-21.4.2	Universal ID
PID-21.4.3	Universal ID Type
PID-21.5	Identifier Type Code
PID-21.6	Assigning Facility
PID-21.6.1	Namespace ID
PID-21.6.2	Universal ID
PID-21.6.3	Universal ID Type
PID-21.7	Effective Date
PID-21.8	Expiration Date
PID-21.9	Assigning Jurisdiction
PID-21.9.1	Identifier
PID-21.9.2	Text
PID-21.9.3	Name of Coding System
PID-21.9.4	Alternate Identifier
PID-21.9.5	Alternate Text
PID-21.9.6	Name of Alternate Coding System
PID-21.9.7	Coding System Version ID
PID-21.9.8	Alternate Coding System Version ID
PID-21.9.9	Original Text
PID-21.10	Assigning Agency or Department
PID-21.10.1	Identifier
PID-21.10.2	Text
PID-21.10.3	Name of Coding System
PID-21.10.4	Alternate Identifier
PID-21.10.5	Alternate Text
PID-21.10.6	Name of Alternate Coding System
PID-21.10.7	Coding System Version ID
PID-21.10.8	Alternate Coding System Version ID
PID-21.10.9	Original Text
PID-22	Ethnic Group
PID-22.1	Identifier	2186-5
PID-22.2	Text	Not Hispanic or Latino
PID-22.3	Name of Coding System	CDCREC
PID-22.4	Alternate Identifier
PID-22.5	Alternate Text
PID-22.6	Name of Alternate Coding System
PID-23	Birth Place
PID-24	Multiple Birth Indicator	N
PID-25	Birth Order	1
PID-26	Citizenship
PID-26.1	Identifier
PID-26.2	Text
PID-26.3	Name of Coding System
PID-26.4	Alternate Identifier
PID-26.5	Alternate Text
PID-26.6	Name of Alternate Coding System
PID-27	Veterans Military Status
PID-27.1	Identifier
PID-27.2	Text
PID-27.3	Name of Coding System
PID-27.4	Alternate Identifier
PID-27.5	Alternate Text
PID-27.6	Name of Alternate Coding System
PID-28	Nationality
PID-28.1	Identifier
PID-28.2	Text
PID-28.3	Name of Coding System
PID-28.4	Alternate Identifier
PID-28.5	Alternate Text
PID-28.6	Name of Alternate Coding System
PID-29	Patient Death Date and Time
PID-29.1	Time
PID-29.2	Degree of Precision
PID-30	Patient Death Indicator	N
PID-31	Identity Unknown Indicator
PID-32	Identity Reliability Code
PID-33	Last Update Date/Time
PID-33.1	Time
PID-33.2	Degree of Precision
PID-34	Last Update Facility
PID-34.1	Namespace ID
PID-34.2	Universal ID
PID-34.3	Universal ID Type
PID-35	Species Code
PID-35.1	Identifier
PID-35.2	Text
PID-35.3	Name of Coding System
PID-35.4	Alternate Identifier
PID-35.5	Alternate Text
PID-35.6	Name of Alternate Coding System
PID-36	Breed Code
PID-36.1	Identifier
PID-36.2	Text
PID-36.3	Name of Coding System
PID-36.4	Alternate Identifier
PID-36.5	Alternate Text
PID-36.6	Name of Alternate Coding System
PID-37	Strain
PID-38	Production Class Code
PID-38.1	Identifier
PID-38.2	Text
PID-38.3	Name of Coding System
PID-38.4	Alternate Identifier
PID-38.5	Alternate Text
PID-38.6	Name of Alternate Coding System
PID-39	Tribal Citizenship
PID-39.1	Identifier
PID-39.2	Text
PID-39.3	Name of Coding System
PID-39.4	Alternate Identifier
PID-39.5	Alternate Text
PID-39.6	Name of Alternate Coding System
PID-39.7	Coding System Version ID
PID-39.8	Alternate Coding System Version ID
PID-39.9	Original Text

PD1 : Patient Additional Demographic

Location	Data Elemenmt	Data	Categrization
PD1-1	Living Dependency
PD1-2	Living Arrangement
PD1-3	Patient Primary Facility
PD1-3.1	Organization Name
PD1-3.2	Organization Name Type Code
PD1-3.3	ID Number
PD1-3.4	Check Digit
PD1-3.5	Check Digit Scheme
PD1-3.6	Assigning Authority
PD1-3.6.1	Namespace ID
PD1-3.6.2	Universal ID
PD1-3.6.3	Universal ID Type
PD1-3.7	Identifier Type Code
PD1-3.8	Assigning Facility
PD1-3.8.1	Namespace ID
PD1-3.8.2	Universal ID
PD1-3.8.3	Universal ID Type
PD1-3.9	Name Representation Code
PD1-3.10	Organization Identifier
PD1-4	Patient Primary Care Provider Name & ID No.
PD1-4.1	ID Number
PD1-4.2	Family Name
PD1-4.2.1	Surname
PD1-4.2.2	Own Surname Prefix
PD1-4.2.3	Own Surname
PD1-4.2.4	Surname Prefix From Partner/Spouse
PD1-4.2.5	Surname From Partner/Spouse
PD1-4.3	Given Name
PD1-4.4	Second and Further Given Names or Initials Thereof
PD1-4.5	Suffix (e.g., JR or III)
PD1-4.6	Prefix (e.g., DR)
PD1-4.7	Degree (e.g., MD)
PD1-4.8	Source Table
PD1-4.9	Assigning Authority
PD1-4.9.1	Namespace ID
PD1-4.9.2	Universal ID
PD1-4.9.3	Universal ID Type
PD1-4.10	Name Type Code
PD1-4.11	Identifier Check Digit
PD1-4.12	Check Digit Scheme
PD1-4.13	Identifier Type Code
PD1-4.14	Assigning Facility
PD1-4.14.1	Namespace ID
PD1-4.14.2	Universal ID
PD1-4.14.3	Universal ID Type
PD1-4.15	Name Representation Code
PD1-4.16	Name Context
PD1-4.16.1	Identifier
PD1-4.16.2	Text
PD1-4.16.3	Name of Coding System
PD1-4.16.4	Alternate Identifier
PD1-4.16.5	Alternate Text
PD1-4.16.6	Name of Alternate Coding System
PD1-4.17	Name Validity Range
PD1-4.17.1	Range Start Date/Time
PD1-4.17.2	Range End Date/Time
PD1-4.18	Name Assembly Order
PD1-4.19	Effective Date
PD1-4.19.1	Time
PD1-4.19.2	Degree of Precision
PD1-4.20	Expiration Date
PD1-4.20.1	Time
PD1-4.20.2	Degree of Precision
PD1-4.21	Professional Suffix
PD1-4.22	Assigning Jurisdiction
PD1-4.22.1	Identifier
PD1-4.22.2	Text
PD1-4.22.3	Name of Coding System
PD1-4.22.4	Alternate Identifier
PD1-4.22.5	Alternate Text
PD1-4.22.6	Name of Alternate Coding System
PD1-4.22.7	Coding System Version ID
PD1-4.22.8	Alternate Coding System Version ID
PD1-4.22.9	Original Text
PD1-4.23	Assigning Agency or Department
PD1-4.23.1	Identifier
PD1-4.23.2	Text
PD1-4.23.3	Name of Coding System
PD1-4.23.4	Alternate Identifier
PD1-4.23.5	Alternate Text
PD1-4.23.6	Name of Alternate Coding System
PD1-4.23.7	Coding System Version ID
PD1-4.23.8	Alternate Coding System Version ID
PD1-4.23.9	Original Text
PD1-5	Student Indicator
PD1-6	Handicap
PD1-7	Living Will Code
PD1-8	Organ Donor Code
PD1-9	Separate Bill
PD1-10	Duplicate Patient
PD1-10.1	ID Number
PD1-10.2	Check Digit
PD1-10.3	Check Digit Scheme
PD1-10.4	Assigning Authority
PD1-10.4.1	Namespace ID
PD1-10.4.2	Universal ID
PD1-10.4.3	Universal ID Type
PD1-10.5	Identifier Type Code
PD1-10.6	Assigning Facility
PD1-10.6.1	Namespace ID
PD1-10.6.2	Universal ID
PD1-10.6.3	Universal ID Type
PD1-10.7	Effective Date
PD1-10.8	Expiration Date
PD1-10.9	Assigning Jurisdiction
PD1-10.9.1	Identifier
PD1-10.9.2	Text
PD1-10.9.3	Name of Coding System
PD1-10.9.4	Alternate Identifier
PD1-10.9.5	Alternate Text
PD1-10.9.6	Name of Alternate Coding System
PD1-10.9.7	Coding System Version ID
PD1-10.9.8	Alternate Coding System Version ID
PD1-10.9.9	Original Text
PD1-10.10	Assigning Agency or Department
PD1-10.10.1	Identifier
PD1-10.10.2	Text
PD1-10.10.3	Name of Coding System
PD1-10.10.4	Alternate Identifier
PD1-10.10.5	Alternate Text
PD1-10.10.6	Name of Alternate Coding System
PD1-10.10.7	Coding System Version ID
PD1-10.10.8	Alternate Coding System Version ID
PD1-10.10.9	Original Text
PD1-11	Publicity Code
PD1-11.1	Identifier	02
PD1-11.2	Text	Reminder/recall - any method
PD1-11.3	Name of Coding System	HL70215
PD1-11.4	Alternate Identifier
PD1-11.5	Alternate Text
PD1-11.6	Name of Alternate Coding System
PD1-12	Protection Indicator	N
PD1-13	Protection Indicator Effective Date	20150624
PD1-14	Place of Worship
PD1-14.1	Organization Name
PD1-14.2	Organization Name Type Code
PD1-14.3	ID Number
PD1-14.4	Check Digit
PD1-14.5	Check Digit Scheme
PD1-14.6	Assigning Authority
PD1-14.6.1	Namespace ID
PD1-14.6.2	Universal ID
PD1-14.6.3	Universal ID Type
PD1-14.7	Identifier Type Code
PD1-14.8	Assigning Facility
PD1-14.8.1	Namespace ID
PD1-14.8.2	Universal ID
PD1-14.8.3	Universal ID Type
PD1-14.9	Name Representation Code
PD1-14.10	Organization Identifier
PD1-15	Advance Directive Code
PD1-15.1	Identifier
PD1-15.2	Text
PD1-15.3	Name of Coding System
PD1-15.4	Alternate Identifier
PD1-15.5	Alternate Text
PD1-15.6	Name of Alternate Coding System
PD1-16	Immunization Registry Status	A
PD1-17	Immunization Registry Status Effective Date	20040602
PD1-18	Publicity Code Effective Date	20150624
PD1-19	Military Branch
PD1-20	Military Rank/Grade
PD1-21	Military Status

NK1 : Next of Kin / Associated Parties

Location	Data Elemenmt	Data	Categrization
NK1-1	Set ID - NK1	1
NK1-2	Name
NK1-2.1	Family Name
NK1-2.1.1	Surname	Banks
NK1-2.1.2	Own Surname Prefix
NK1-2.1.3	Own Surname
NK1-2.1.4	Surname Prefix From Partner/Spouse
NK1-2.1.5	Surname From Partner/Spouse
NK1-2.2	Given Name	Karl
NK1-2.3	Second and Further Given Names or Initials Thereof	Leonard
NK1-2.4	Suffix (e.g., JR or III)
NK1-2.5	Prefix (e.g., DR)
NK1-2.6	Degree (e.g., MD)
NK1-2.7	Name Type Code	L
NK1-2.8	Name Representation Code
NK1-2.9	Name Context
NK1-2.9.1	Identifier
NK1-2.9.2	Text
NK1-2.9.3	Name of Coding System
NK1-2.9.4	Alternate Identifier
NK1-2.9.5	Alternate Text
NK1-2.9.6	Name of Alternate Coding System
NK1-2.10	Name Validity Range
NK1-2.10.1	Range Start Date/Time
NK1-2.10.2	Range End Date/Time
NK1-2.11	Name Assembly Order
NK1-2.12	Effective Date
NK1-2.12.1	Time
NK1-2.12.2	Degree of Precision
NK1-2.13	Expiration Date
NK1-2.13.1	Time
NK1-2.13.2	Degree of Precision
NK1-2.14	Professional Suffix
NK1-3	Relationship
NK1-3.1	Identifier	FTH
NK1-3.2	Text	Father
NK1-3.3	Name of Coding System	HL70063
NK1-3.4	Alternate Identifier
NK1-3.5	Alternate Text
NK1-3.6	Name of Alternate Coding System
NK1-4	Address
NK1-4.1	Street Address
NK1-4.1.1	Street or Mailing Address	924 Sycamore Lane
NK1-4.1.2	Street Name
NK1-4.1.3	Dwelling Number
NK1-4.2	Other Designation
NK1-4.3	City	Bozeman
NK1-4.4	State or Province	MT
NK1-4.5	Zip or Postal Code	59715
NK1-4.6	Country	USA
NK1-4.7	Address Type	P
NK1-4.8	Other Geographic Designation
NK1-4.9	County/Parish Code
NK1-4.10	Census Tract
NK1-4.11	Address Representation Code
NK1-4.12	Address Validity Range
NK1-4.12.1	Range Start Date/Time
NK1-4.12.2	Range End Date/Time
NK1-4.13	Effective Date
NK1-4.13.1	Time
NK1-4.13.2	Degree of Precision
NK1-4.14	Expiration Date
NK1-4.14.1	Time
NK1-4.14.2	Degree of Precision
NK1-5	Phone Number
NK1-5.1	Telephone Number
NK1-5.2	Telecommunication Use Code	PRN
NK1-5.3	Telecommunication Equipment Type	PH
NK1-5.4	Email Address
NK1-5.5	Country Code
NK1-5.6	Area/City Code	406
NK1-5.7	Local Number	5555835
NK1-5.8	Extension
NK1-5.9	Any Text
NK1-5.10	Extension Prefix
NK1-5.11	Speed Dial Code
NK1-5.12	Unformatted Telephone number
NK1-6	Business Phone Number
NK1-6.1	Telephone Number
NK1-6.2	Telecommunication Use Code
NK1-6.3	Telecommunication Equipment Type
NK1-6.4	Email Address
NK1-6.5	Country Code
NK1-6.6	Area/City Code
NK1-6.7	Local Number
NK1-6.8	Extension
NK1-6.9	Any Text
NK1-6.10	Extension Prefix
NK1-6.11	Speed Dial Code
NK1-6.12	Unformatted Telephone number
NK1-7	Contact Role
NK1-7.1	Identifier
NK1-7.2	Text
NK1-7.3	Name of Coding System
NK1-7.4	Alternate Identifier
NK1-7.5	Alternate Text
NK1-7.6	Name of Alternate Coding System
NK1-8	Start Date
NK1-9	End Date
NK1-10	Next of Kin / Associated Parties Job Title
NK1-11	Next of Kin / Associated Parties Job Code/Class
NK1-11.1	Job Code
NK1-11.2	Job Class
NK1-11.3	Job Description Text
NK1-12	Next of Kin / Associated Parties Employee Number
NK1-12.1	ID Number
NK1-12.2	Check Digit
NK1-12.3	Check Digit Scheme
NK1-12.4	Assigning Authority
NK1-12.4.1	Namespace ID
NK1-12.4.2	Universal ID
NK1-12.4.3	Universal ID Type
NK1-12.5	Identifier Type Code
NK1-12.6	Assigning Facility
NK1-12.6.1	Namespace ID
NK1-12.6.2	Universal ID
NK1-12.6.3	Universal ID Type
NK1-12.7	Effective Date
NK1-12.8	Expiration Date
NK1-12.9	Assigning Jurisdiction
NK1-12.9.1	Identifier
NK1-12.9.2	Text
NK1-12.9.3	Name of Coding System
NK1-12.9.4	Alternate Identifier
NK1-12.9.5	Alternate Text
NK1-12.9.6	Name of Alternate Coding System
NK1-12.9.7	Coding System Version ID
NK1-12.9.8	Alternate Coding System Version ID
NK1-12.9.9	Original Text
NK1-12.10	Assigning Agency or Department
NK1-12.10.1	Identifier
NK1-12.10.2	Text
NK1-12.10.3	Name of Coding System
NK1-12.10.4	Alternate Identifier
NK1-12.10.5	Alternate Text
NK1-12.10.6	Name of Alternate Coding System
NK1-12.10.7	Coding System Version ID
NK1-12.10.8	Alternate Coding System Version ID
NK1-12.10.9	Original Text
NK1-13	Organization Name - NK1
NK1-13.1	Organization Name
NK1-13.2	Organization Name Type Code
NK1-13.3	ID Number
NK1-13.4	Check Digit
NK1-13.5	Check Digit Scheme
NK1-13.6	Assigning Authority
NK1-13.6.1	Namespace ID
NK1-13.6.2	Universal ID
NK1-13.6.3	Universal ID Type
NK1-13.7	Identifier Type Code
NK1-13.8	Assigning Facility
NK1-13.8.1	Namespace ID
NK1-13.8.2	Universal ID
NK1-13.8.3	Universal ID Type
NK1-13.9	Name Representation Code
NK1-13.10	Organization Identifier
NK1-14	Marital Status
NK1-14.1	Identifier
NK1-14.2	Text
NK1-14.3	Name of Coding System
NK1-14.4	Alternate Identifier
NK1-14.5	Alternate Text
NK1-14.6	Name of Alternate Coding System
NK1-15	Administrative Sex
NK1-16	Date/Time of Birth
NK1-16.1	Time
NK1-16.2	Degree of Precision
NK1-17	Living Dependency
NK1-18	Ambulatory Status
NK1-19	Citizenship
NK1-19.1	Identifier
NK1-19.2	Text
NK1-19.3	Name of Coding System
NK1-19.4	Alternate Identifier
NK1-19.5	Alternate Text
NK1-19.6	Name of Alternate Coding System
NK1-20	Primary Language
NK1-20.1	Identifier
NK1-20.2	Text
NK1-20.3	Name of Coding System
NK1-20.4	Alternate Identifier
NK1-20.5	Alternate Text
NK1-20.6	Name of Alternate Coding System
NK1-21	Living Arrangement
NK1-22	Publicity Code
NK1-22.1	Identifier
NK1-22.2	Text
NK1-22.3	Name of Coding System
NK1-22.4	Alternate Identifier
NK1-22.5	Alternate Text
NK1-22.6	Name of Alternate Coding System
NK1-23	Protection Indicator
NK1-24	Student Indicator
NK1-25	Religion
NK1-25.1	Identifier
NK1-25.2	Text
NK1-25.3	Name of Coding System
NK1-25.4	Alternate Identifier
NK1-25.5	Alternate Text
NK1-25.6	Name of Alternate Coding System
NK1-26	Mother's Maiden Name
NK1-26.1	Family Name
NK1-26.1.1	Surname
NK1-26.1.2	Own Surname Prefix
NK1-26.1.3	Own Surname
NK1-26.1.4	Surname Prefix From Partner/Spouse
NK1-26.1.5	Surname From Partner/Spouse
NK1-26.2	Given Name
NK1-26.3	Second and Further Given Names or Initials Thereof
NK1-26.4	Suffix (e.g., JR or III)
NK1-26.5	Prefix (e.g., DR)
NK1-26.6	Degree (e.g., MD)
NK1-26.7	Name Type Code
NK1-26.8	Name Representation Code
NK1-26.9	Name Context
NK1-26.9.1	Identifier
NK1-26.9.2	Text
NK1-26.9.3	Name of Coding System
NK1-26.9.4	Alternate Identifier
NK1-26.9.5	Alternate Text
NK1-26.9.6	Name of Alternate Coding System
NK1-26.10	Name Validity Range
NK1-26.10.1	Range Start Date/Time
NK1-26.10.2	Range End Date/Time
NK1-26.11	Name Assembly Order
NK1-26.12	Effective Date
NK1-26.12.1	Time
NK1-26.12.2	Degree of Precision
NK1-26.13	Expiration Date
NK1-26.13.1	Time
NK1-26.13.2	Degree of Precision
NK1-26.14	Professional Suffix
NK1-27	Nationality
NK1-27.1	Identifier
NK1-27.2	Text
NK1-27.3	Name of Coding System
NK1-27.4	Alternate Identifier
NK1-27.5	Alternate Text
NK1-27.6	Name of Alternate Coding System
NK1-28	Ethnic Group
NK1-28.1	Identifier
NK1-28.2	Text
NK1-28.3	Name of Coding System
NK1-28.4	Alternate Identifier
NK1-28.5	Alternate Text
NK1-28.6	Name of Alternate Coding System
NK1-29	Contact Reason
NK1-29.1	Identifier
NK1-29.2	Text
NK1-29.3	Name of Coding System
NK1-29.4	Alternate Identifier
NK1-29.5	Alternate Text
NK1-29.6	Name of Alternate Coding System
NK1-30	Contact Person's Name
NK1-30.1	Family Name
NK1-30.1.1	Surname
NK1-30.1.2	Own Surname Prefix
NK1-30.1.3	Own Surname
NK1-30.1.4	Surname Prefix From Partner/Spouse
NK1-30.1.5	Surname From Partner/Spouse
NK1-30.2	Given Name
NK1-30.3	Second and Further Given Names or Initials Thereof
NK1-30.4	Suffix (e.g., JR or III)
NK1-30.5	Prefix (e.g., DR)
NK1-30.6	Degree (e.g., MD)
NK1-30.7	Name Type Code
NK1-30.8	Name Representation Code
NK1-30.9	Name Context
NK1-30.9.1	Identifier
NK1-30.9.2	Text
NK1-30.9.3	Name of Coding System
NK1-30.9.4	Alternate Identifier
NK1-30.9.5	Alternate Text
NK1-30.9.6	Name of Alternate Coding System
NK1-30.10	Name Validity Range
NK1-30.10.1	Range Start Date/Time
NK1-30.10.2	Range End Date/Time
NK1-30.11	Name Assembly Order
NK1-30.12	Effective Date
NK1-30.12.1	Time
NK1-30.12.2	Degree of Precision
NK1-30.13	Expiration Date
NK1-30.13.1	Time
NK1-30.13.2	Degree of Precision
NK1-30.14	Professional Suffix
NK1-31	Contact Person's Telephone Number
NK1-31.1	Telephone Number
NK1-31.2	Telecommunication Use Code
NK1-31.3	Telecommunication Equipment Type
NK1-31.4	Email Address
NK1-31.5	Country Code
NK1-31.6	Area/City Code
NK1-31.7	Local Number
NK1-31.8	Extension
NK1-31.9	Any Text
NK1-31.10	Extension Prefix
NK1-31.11	Speed Dial Code
NK1-31.12	Unformatted Telephone number
NK1-32	Contact Person's Address
NK1-32.1	Street Address
NK1-32.1.1	Street or Mailing Address
NK1-32.1.2	Street Name
NK1-32.1.3	Dwelling Number
NK1-32.2	Other Designation
NK1-32.3	City
NK1-32.4	State or Province
NK1-32.5	Zip or Postal Code
NK1-32.6	Country
NK1-32.7	Address Type
NK1-32.8	Other Geographic Designation
NK1-32.9	County/Parish Code
NK1-32.10	Census Tract
NK1-32.11	Address Representation Code
NK1-32.12	Address Validity Range
NK1-32.12.1	Range Start Date/Time
NK1-32.12.2	Range End Date/Time
NK1-32.13	Effective Date
NK1-32.13.1	Time
NK1-32.13.2	Degree of Precision
NK1-32.14	Expiration Date
NK1-32.14.1	Time
NK1-32.14.2	Degree of Precision
NK1-33	Next of Kin/Associated Party's Identifiers
NK1-33.1	ID Number
NK1-33.2	Check Digit
NK1-33.3	Check Digit Scheme
NK1-33.4	Assigning Authority
NK1-33.4.1	Namespace ID
NK1-33.4.2	Universal ID
NK1-33.4.3	Universal ID Type
NK1-33.5	Identifier Type Code
NK1-33.6	Assigning Facility
NK1-33.6.1	Namespace ID
NK1-33.6.2	Universal ID
NK1-33.6.3	Universal ID Type
NK1-33.7	Effective Date
NK1-33.8	Expiration Date
NK1-33.9	Assigning Jurisdiction
NK1-33.9.1	Identifier
NK1-33.9.2	Text
NK1-33.9.3	Name of Coding System
NK1-33.9.4	Alternate Identifier
NK1-33.9.5	Alternate Text
NK1-33.9.6	Name of Alternate Coding System
NK1-33.9.7	Coding System Version ID
NK1-33.9.8	Alternate Coding System Version ID
NK1-33.9.9	Original Text
NK1-33.10	Assigning Agency or Department
NK1-33.10.1	Identifier
NK1-33.10.2	Text
NK1-33.10.3	Name of Coding System
NK1-33.10.4	Alternate Identifier
NK1-33.10.5	Alternate Text
NK1-33.10.6	Name of Alternate Coding System
NK1-33.10.7	Coding System Version ID
NK1-33.10.8	Alternate Coding System Version ID
NK1-33.10.9	Original Text
NK1-34	Job Status
NK1-35	Race
NK1-35.1	Identifier
NK1-35.2	Text
NK1-35.3	Name of Coding System
NK1-35.4	Alternate Identifier
NK1-35.5	Alternate Text
NK1-35.6	Name of Alternate Coding System
NK1-36	Handicap
NK1-37	Contact Person Social Security Number
NK1-38	Next of Kin Birth Place
NK1-39	VIP Indicator

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	5645
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	22515
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150624
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	48
RXA-5.2	Text	Hib (PRP-T)
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	328734
RXA-16	Substance Expiration Date
RXA-16.1	Time	20150923
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	SKB
RXA-17.2	Text	GlaxoSmithKline
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	Intramuscular
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier	RT
RXR-2.2	Text	Right Thigh
RXR-2.3	Name of Coding System	HL70163
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	PHC70
OBX-5.2	Text	Private
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V01
OBX-5.2	Text	Not VFC Eligible
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300026411141022
OBX-5.2	Text	Multiple Vaccines VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150624
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	5027
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	12128
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150624
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	83
RXA-5.2	Text	Hep A, ped/adol, 2 dose
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	208940
RXA-16	Substance Expiration Date
RXA-16.1	Time	20160120
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	MSD
RXA-17.2	Text	Merck and Co., Inc.
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	Intramuscular
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier	RT
RXR-2.2	Text	Right Thigh
RXR-2.3	Name of Coding System	HL70163
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	PHC70
OBX-5.2	Text	Private
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V01
OBX-5.2	Text	Not VFC Eligible
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300004211111025
OBX-5.2	Text	Hepatitis A VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150624
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	7239
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	50588
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150624
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	03
RXA-5.2	Text	MMR
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	134301
RXA-16	Substance Expiration Date
RXA-16.1	Time	20151028
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	MSD
RXA-17.2	Text	Merck and Co., Inc.
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	Intramuscular
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier	LT
RXR-2.2	Text	Left Thigh
RXR-2.3	Name of Coding System	HL70163
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	PHC70
OBX-5.2	Text	Private
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V01
OBX-5.2	Text	Not VFC Eligible
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300012711120420
OBX-5.2	Text	Measles/Mumps/Rubella VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150624
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	9999
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150624
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	21
RXA-5.2	Text	varicella
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier
RXA-9.2	Text
RXA-9.3	Name of Coding System
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier	00
RXA-18.2	Text	Parental decision
RXA-18.3	Name of Coding System	NIP002
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	RE
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

Test Data Specification

Patient Information

Element	Data
Patient Name	Tyler Owen Banks
Mother's Maiden Name
ID Number	8891
Date/Time of Birth	06/02/2014
Administrative Sex	Male
Patient Address	924 Sycamore Lane Bozeman MT 59715 USA
Local Number	(406)555-5835
Race	White
Ethnic Group	Not Hispanic or Latino
Birth Order	1

Immunization Registry Information

Element	Data
Immunization Registry Status	A
Immunization Registry Status Effective Date	06/02/2004
Publicity Code	Reminder/recall - any method
Publicity Code Effective Date	06/24/2015
Protection Indicator	No
Protection Indicator Effective Date	06/24/2015

Guardian or Responsible Party

Element	Data
Name	Karl Leonard Banks
Relationship	Father
Address	924 Sycamore Lane Bozeman MT 59715 USA
Phone Number	(406)555-5835

Vaccine Administration Information

Element	Data
Administered Code	Hib (PRP-T)
Date/Time Start of Administration	06/24/2015
Administered Amount	0.5
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	328734
Substance Expiration Date	09/23/2015
Substance Manufacturer Name	GlaxoSmithKline
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route	Intramuscular
Administration Site	Right Thigh
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Private
Vaccine Funding Program Eligibility	Not VFC Eligible
Document Type	Multiple Vaccines VIS
Date Vis Presented

Vaccine Administration Information

Element	Data
Administered Code	Hep A, ped/adol, 2 dose
Date/Time Start of Administration	06/24/2015
Administered Amount	0.5
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	208940
Substance Expiration Date	01/20/2016
Substance Manufacturer Name	Merck and Co., Inc.
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route	Intramuscular
Administration Site	Right Thigh
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Private
Vaccine Funding Program Eligibility	Not VFC Eligible
Document Type	Hepatitis A VIS
Date Vis Presented

Vaccine Administration Information

Element	Data
Administered Code	MMR
Date/Time Start of Administration	06/24/2015
Administered Amount	0.5
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	134301
Substance Expiration Date	10/28/2015
Substance Manufacturer Name	Merck and Co., Inc.
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route	Intramuscular
Administration Site	Left Thigh
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Private
Vaccine Funding Program Eligibility	Not VFC Eligible
Document Type	Measles/Mumps/Rubella VIS
Date Vis Presented

Vaccine Administration Information

Element	Data
Administered Code	varicella
Date/Time Start of Administration	06/24/2015
Administered Amount	999
Administered Units
Administration Notes
Administering Provider
Substance Lot Number
Substance Expiration Date
Substance Manufacturer Name
Substance/Treatment Refusal Reason	Parental decision
Completion Status	RE
Action Code	Add
Route
Administration Site
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By

1.6.2. Consume acknowledgement message

Tests the ability to consume a valid ACK message

Test Story

Description

The IIS returns a positive acknowledgement message indicating that no errors were found during the course of filing the message.

Comments

No Comments

PreCondition

A VXU message is generated by the EHR.

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

The acknowledgement message is consumed by the system responsible for the content of the administration message without error.

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	IIS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	wcEHR
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624093847.822-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	ACK
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	ACK
MSH-10	Message Control ID	79946
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z23
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	IIS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	wcEHR
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AA
MSA-2	Message Control ID	18019
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

1.7. TC-7

Child updated administration

Test Story

Description

A child is seen at a clinic. A previously documented vaccination is updated to correct inaccurate information..

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

This test case asses the ability of the EHR to create an update message for a previously sent administration.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

1.7.1. Send administration message

Tests the ability to create a valid VXU^V04 message

Test Story

Description

After document vaccinations for Tyler Owen Banks the clinician, Lily Jackson (ID 456) recognizes that an error was made during data entry for the Hepatitis A vaccine. The Lot Number was entered incorrectly. She updates the data in the EHR and transmits it to the IIS.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	wcEHR
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	IIS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624093847.808-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	VXU
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	VXU_V04
MSH-10	Message Control ID	18019
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER
MSH-16	Application Acknowledgment Type	AL
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z22
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	wcEHR
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	IIS
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

PID : Patient Identification

Location	Data Elemenmt	Data	Categrization
PID-1	Set ID - PID	1
PID-2	Patient ID
PID-2.1	ID Number
PID-2.2	Check Digit
PID-2.3	Check Digit Scheme
PID-2.4	Assigning Authority
PID-2.4.1	Namespace ID
PID-2.4.2	Universal ID
PID-2.4.3	Universal ID Type
PID-2.5	Identifier Type Code
PID-2.6	Assigning Facility
PID-2.6.1	Namespace ID
PID-2.6.2	Universal ID
PID-2.6.3	Universal ID Type
PID-2.7	Effective Date
PID-2.8	Expiration Date
PID-2.9	Assigning Jurisdiction
PID-2.9.1	Identifier
PID-2.9.2	Text
PID-2.9.3	Name of Coding System
PID-2.9.4	Alternate Identifier
PID-2.9.5	Alternate Text
PID-2.9.6	Name of Alternate Coding System
PID-2.9.7	Coding System Version ID
PID-2.9.8	Alternate Coding System Version ID
PID-2.9.9	Original Text
PID-2.10	Assigning Agency or Department
PID-2.10.1	Identifier
PID-2.10.2	Text
PID-2.10.3	Name of Coding System
PID-2.10.4	Alternate Identifier
PID-2.10.5	Alternate Text
PID-2.10.6	Name of Alternate Coding System
PID-2.10.7	Coding System Version ID
PID-2.10.8	Alternate Coding System Version ID
PID-2.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	8891
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	wcEHR
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	MR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-4	Alternate Patient ID - PID
PID-4.1	ID Number
PID-4.2	Check Digit
PID-4.3	Check Digit Scheme
PID-4.4	Assigning Authority
PID-4.4.1	Namespace ID
PID-4.4.2	Universal ID
PID-4.4.3	Universal ID Type
PID-4.5	Identifier Type Code
PID-4.6	Assigning Facility
PID-4.6.1	Namespace ID
PID-4.6.2	Universal ID
PID-4.6.3	Universal ID Type
PID-4.7	Effective Date
PID-4.8	Expiration Date
PID-4.9	Assigning Jurisdiction
PID-4.9.1	Identifier
PID-4.9.2	Text
PID-4.9.3	Name of Coding System
PID-4.9.4	Alternate Identifier
PID-4.9.5	Alternate Text
PID-4.9.6	Name of Alternate Coding System
PID-4.9.7	Coding System Version ID
PID-4.9.8	Alternate Coding System Version ID
PID-4.9.9	Original Text
PID-4.10	Assigning Agency or Department
PID-4.10.1	Identifier
PID-4.10.2	Text
PID-4.10.3	Name of Coding System
PID-4.10.4	Alternate Identifier
PID-4.10.5	Alternate Text
PID-4.10.6	Name of Alternate Coding System
PID-4.10.7	Coding System Version ID
PID-4.10.8	Alternate Coding System Version ID
PID-4.10.9	Original Text
PID-5	Patient Name
PID-5.1	Family Name
PID-5.1.1	Surname	Banks
PID-5.1.2	Own Surname Prefix
PID-5.1.3	Own Surname
PID-5.1.4	Surname Prefix From Partner/Spouse
PID-5.1.5	Surname From Partner/Spouse
PID-5.2	Given Name	Tyler
PID-5.3	Second and Further Given Names or Initials Thereof	Owen
PID-5.4	Suffix (e.g., JR or III)
PID-5.5	Prefix (e.g., DR)
PID-5.6	Degree (e.g., MD)
PID-5.7	Name Type Code	L
PID-5.8	Name Representation Code
PID-5.9	Name Context
PID-5.9.1	Identifier
PID-5.9.2	Text
PID-5.9.3	Name of Coding System
PID-5.9.4	Alternate Identifier
PID-5.9.5	Alternate Text
PID-5.9.6	Name of Alternate Coding System
PID-5.10	Name Validity Range
PID-5.10.1	Range Start Date/Time
PID-5.10.2	Range End Date/Time
PID-5.11	Name Assembly Order
PID-5.12	Effective Date
PID-5.12.1	Time
PID-5.12.2	Degree of Precision
PID-5.13	Expiration Date
PID-5.13.1	Time
PID-5.13.2	Degree of Precision
PID-5.14	Professional Suffix
PID-6	Mother's Maiden Name
PID-6.1	Family Name
PID-6.1.1	Surname
PID-6.1.2	Own Surname Prefix
PID-6.1.3	Own Surname
PID-6.1.4	Surname Prefix From Partner/Spouse
PID-6.1.5	Surname From Partner/Spouse
PID-6.2	Given Name
PID-6.3	Second and Further Given Names or Initials Thereof
PID-6.4	Suffix (e.g., JR or III)
PID-6.5	Prefix (e.g., DR)
PID-6.6	Degree (e.g., MD)
PID-6.7	Name Type Code
PID-6.8	Name Representation Code
PID-6.9	Name Context
PID-6.9.1	Identifier
PID-6.9.2	Text
PID-6.9.3	Name of Coding System
PID-6.9.4	Alternate Identifier
PID-6.9.5	Alternate Text
PID-6.9.6	Name of Alternate Coding System
PID-6.10	Name Validity Range
PID-6.10.1	Range Start Date/Time
PID-6.10.2	Range End Date/Time
PID-6.11	Name Assembly Order
PID-6.12	Effective Date
PID-6.12.1	Time
PID-6.12.2	Degree of Precision
PID-6.13	Expiration Date
PID-6.13.1	Time
PID-6.13.2	Degree of Precision
PID-6.14	Professional Suffix
PID-7	Date/Time of Birth
PID-7.1	Time	20040602
PID-7.2	Degree of Precision
PID-8	Administrative Sex	M
PID-9	Patient Alias
PID-9.1	Family Name
PID-9.1.1	Surname
PID-9.1.2	Own Surname Prefix
PID-9.1.3	Own Surname
PID-9.1.4	Surname Prefix From Partner/Spouse
PID-9.1.5	Surname From Partner/Spouse
PID-9.2	Given Name
PID-9.3	Second and Further Given Names or Initials Thereof
PID-9.4	Suffix (e.g., JR or III)
PID-9.5	Prefix (e.g., DR)
PID-9.6	Degree (e.g., MD)
PID-9.7	Name Type Code
PID-9.8	Name Representation Code
PID-9.9	Name Context
PID-9.9.1	Identifier
PID-9.9.2	Text
PID-9.9.3	Name of Coding System
PID-9.9.4	Alternate Identifier
PID-9.9.5	Alternate Text
PID-9.9.6	Name of Alternate Coding System
PID-9.10	Name Validity Range
PID-9.10.1	Range Start Date/Time
PID-9.10.2	Range End Date/Time
PID-9.11	Name Assembly Order
PID-9.12	Effective Date
PID-9.12.1	Time
PID-9.12.2	Degree of Precision
PID-9.13	Expiration Date
PID-9.13.1	Time
PID-9.13.2	Degree of Precision
PID-9.14	Professional Suffix
PID-10	Race
PID-10.1	Identifier	2106-3
PID-10.2	Text	White
PID-10.3	Name of Coding System	CDCREC
PID-10.4	Alternate Identifier
PID-10.5	Alternate Text
PID-10.6	Name of Alternate Coding System
PID-11	Patient Address
PID-11.1	Street Address
PID-11.1.1	Street or Mailing Address	924 Sycamore Lane
PID-11.1.2	Street Name
PID-11.1.3	Dwelling Number
PID-11.2	Other Designation
PID-11.3	City	Bozeman
PID-11.4	State or Province	MT
PID-11.5	Zip or Postal Code	59715
PID-11.6	Country	USA
PID-11.7	Address Type	P
PID-11.8	Other Geographic Designation
PID-11.9	County/Parish Code
PID-11.10	Census Tract
PID-11.11	Address Representation Code
PID-11.12	Address Validity Range
PID-11.12.1	Range Start Date/Time
PID-11.12.2	Range End Date/Time
PID-11.13	Effective Date
PID-11.13.1	Time
PID-11.13.2	Degree of Precision
PID-11.14	Expiration Date
PID-11.14.1	Time
PID-11.14.2	Degree of Precision
PID-12	County Code
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	PRN
PID-13.3	Telecommunication Equipment Type	PH
PID-13.4	Email Address
PID-13.5	Country Code
PID-13.6	Area/City Code	406
PID-13.7	Local Number	5555835
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-14	Phone Number - Business
PID-14.1	Telephone Number
PID-14.2	Telecommunication Use Code
PID-14.3	Telecommunication Equipment Type
PID-14.4	Email Address
PID-14.5	Country Code
PID-14.6	Area/City Code
PID-14.7	Local Number
PID-14.8	Extension
PID-14.9	Any Text
PID-14.10	Extension Prefix
PID-14.11	Speed Dial Code
PID-14.12	Unformatted Telephone number
PID-15	Primary Language
PID-15.1	Identifier
PID-15.2	Text
PID-15.3	Name of Coding System
PID-15.4	Alternate Identifier
PID-15.5	Alternate Text
PID-15.6	Name of Alternate Coding System
PID-16	Marital Status
PID-16.1	Identifier
PID-16.2	Text
PID-16.3	Name of Coding System
PID-16.4	Alternate Identifier
PID-16.5	Alternate Text
PID-16.6	Name of Alternate Coding System
PID-17	Religion
PID-17.1	Identifier
PID-17.2	Text
PID-17.3	Name of Coding System
PID-17.4	Alternate Identifier
PID-17.5	Alternate Text
PID-17.6	Name of Alternate Coding System
PID-18	Patient Account Number
PID-18.1	ID Number
PID-18.2	Check Digit
PID-18.3	Check Digit Scheme
PID-18.4	Assigning Authority
PID-18.4.1	Namespace ID
PID-18.4.2	Universal ID
PID-18.4.3	Universal ID Type
PID-18.5	Identifier Type Code
PID-18.6	Assigning Facility
PID-18.6.1	Namespace ID
PID-18.6.2	Universal ID
PID-18.6.3	Universal ID Type
PID-18.7	Effective Date
PID-18.8	Expiration Date
PID-18.9	Assigning Jurisdiction
PID-18.9.1	Identifier
PID-18.9.2	Text
PID-18.9.3	Name of Coding System
PID-18.9.4	Alternate Identifier
PID-18.9.5	Alternate Text
PID-18.9.6	Name of Alternate Coding System
PID-18.9.7	Coding System Version ID
PID-18.9.8	Alternate Coding System Version ID
PID-18.9.9	Original Text
PID-18.10	Assigning Agency or Department
PID-18.10.1	Identifier
PID-18.10.2	Text
PID-18.10.3	Name of Coding System
PID-18.10.4	Alternate Identifier
PID-18.10.5	Alternate Text
PID-18.10.6	Name of Alternate Coding System
PID-18.10.7	Coding System Version ID
PID-18.10.8	Alternate Coding System Version ID
PID-18.10.9	Original Text
PID-19	SSN Number - Patient
PID-20	Driver's License Number - Patient
PID-20.1	License Number
PID-20.2	Issuing State, Province, Country
PID-20.3	Expiration Date
PID-21	Mother's Identifier
PID-21.1	ID Number
PID-21.2	Check Digit
PID-21.3	Check Digit Scheme
PID-21.4	Assigning Authority
PID-21.4.1	Namespace ID
PID-21.4.2	Universal ID
PID-21.4.3	Universal ID Type
PID-21.5	Identifier Type Code
PID-21.6	Assigning Facility
PID-21.6.1	Namespace ID
PID-21.6.2	Universal ID
PID-21.6.3	Universal ID Type
PID-21.7	Effective Date
PID-21.8	Expiration Date
PID-21.9	Assigning Jurisdiction
PID-21.9.1	Identifier
PID-21.9.2	Text
PID-21.9.3	Name of Coding System
PID-21.9.4	Alternate Identifier
PID-21.9.5	Alternate Text
PID-21.9.6	Name of Alternate Coding System
PID-21.9.7	Coding System Version ID
PID-21.9.8	Alternate Coding System Version ID
PID-21.9.9	Original Text
PID-21.10	Assigning Agency or Department
PID-21.10.1	Identifier
PID-21.10.2	Text
PID-21.10.3	Name of Coding System
PID-21.10.4	Alternate Identifier
PID-21.10.5	Alternate Text
PID-21.10.6	Name of Alternate Coding System
PID-21.10.7	Coding System Version ID
PID-21.10.8	Alternate Coding System Version ID
PID-21.10.9	Original Text
PID-22	Ethnic Group
PID-22.1	Identifier	2186-5
PID-22.2	Text	Not Hispanic or Latino
PID-22.3	Name of Coding System	CDCREC
PID-22.4	Alternate Identifier
PID-22.5	Alternate Text
PID-22.6	Name of Alternate Coding System
PID-23	Birth Place
PID-24	Multiple Birth Indicator	N
PID-25	Birth Order	1
PID-26	Citizenship
PID-26.1	Identifier
PID-26.2	Text
PID-26.3	Name of Coding System
PID-26.4	Alternate Identifier
PID-26.5	Alternate Text
PID-26.6	Name of Alternate Coding System
PID-27	Veterans Military Status
PID-27.1	Identifier
PID-27.2	Text
PID-27.3	Name of Coding System
PID-27.4	Alternate Identifier
PID-27.5	Alternate Text
PID-27.6	Name of Alternate Coding System
PID-28	Nationality
PID-28.1	Identifier
PID-28.2	Text
PID-28.3	Name of Coding System
PID-28.4	Alternate Identifier
PID-28.5	Alternate Text
PID-28.6	Name of Alternate Coding System
PID-29	Patient Death Date and Time
PID-29.1	Time
PID-29.2	Degree of Precision
PID-30	Patient Death Indicator	N
PID-31	Identity Unknown Indicator
PID-32	Identity Reliability Code
PID-33	Last Update Date/Time
PID-33.1	Time
PID-33.2	Degree of Precision
PID-34	Last Update Facility
PID-34.1	Namespace ID
PID-34.2	Universal ID
PID-34.3	Universal ID Type
PID-35	Species Code
PID-35.1	Identifier
PID-35.2	Text
PID-35.3	Name of Coding System
PID-35.4	Alternate Identifier
PID-35.5	Alternate Text
PID-35.6	Name of Alternate Coding System
PID-36	Breed Code
PID-36.1	Identifier
PID-36.2	Text
PID-36.3	Name of Coding System
PID-36.4	Alternate Identifier
PID-36.5	Alternate Text
PID-36.6	Name of Alternate Coding System
PID-37	Strain
PID-38	Production Class Code
PID-38.1	Identifier
PID-38.2	Text
PID-38.3	Name of Coding System
PID-38.4	Alternate Identifier
PID-38.5	Alternate Text
PID-38.6	Name of Alternate Coding System
PID-39	Tribal Citizenship
PID-39.1	Identifier
PID-39.2	Text
PID-39.3	Name of Coding System
PID-39.4	Alternate Identifier
PID-39.5	Alternate Text
PID-39.6	Name of Alternate Coding System
PID-39.7	Coding System Version ID
PID-39.8	Alternate Coding System Version ID
PID-39.9	Original Text

PD1 : Patient Additional Demographic

Location	Data Elemenmt	Data	Categrization
PD1-1	Living Dependency
PD1-2	Living Arrangement
PD1-3	Patient Primary Facility
PD1-3.1	Organization Name
PD1-3.2	Organization Name Type Code
PD1-3.3	ID Number
PD1-3.4	Check Digit
PD1-3.5	Check Digit Scheme
PD1-3.6	Assigning Authority
PD1-3.6.1	Namespace ID
PD1-3.6.2	Universal ID
PD1-3.6.3	Universal ID Type
PD1-3.7	Identifier Type Code
PD1-3.8	Assigning Facility
PD1-3.8.1	Namespace ID
PD1-3.8.2	Universal ID
PD1-3.8.3	Universal ID Type
PD1-3.9	Name Representation Code
PD1-3.10	Organization Identifier
PD1-4	Patient Primary Care Provider Name & ID No.
PD1-4.1	ID Number
PD1-4.2	Family Name
PD1-4.2.1	Surname
PD1-4.2.2	Own Surname Prefix
PD1-4.2.3	Own Surname
PD1-4.2.4	Surname Prefix From Partner/Spouse
PD1-4.2.5	Surname From Partner/Spouse
PD1-4.3	Given Name
PD1-4.4	Second and Further Given Names or Initials Thereof
PD1-4.5	Suffix (e.g., JR or III)
PD1-4.6	Prefix (e.g., DR)
PD1-4.7	Degree (e.g., MD)
PD1-4.8	Source Table
PD1-4.9	Assigning Authority
PD1-4.9.1	Namespace ID
PD1-4.9.2	Universal ID
PD1-4.9.3	Universal ID Type
PD1-4.10	Name Type Code
PD1-4.11	Identifier Check Digit
PD1-4.12	Check Digit Scheme
PD1-4.13	Identifier Type Code
PD1-4.14	Assigning Facility
PD1-4.14.1	Namespace ID
PD1-4.14.2	Universal ID
PD1-4.14.3	Universal ID Type
PD1-4.15	Name Representation Code
PD1-4.16	Name Context
PD1-4.16.1	Identifier
PD1-4.16.2	Text
PD1-4.16.3	Name of Coding System
PD1-4.16.4	Alternate Identifier
PD1-4.16.5	Alternate Text
PD1-4.16.6	Name of Alternate Coding System
PD1-4.17	Name Validity Range
PD1-4.17.1	Range Start Date/Time
PD1-4.17.2	Range End Date/Time
PD1-4.18	Name Assembly Order
PD1-4.19	Effective Date
PD1-4.19.1	Time
PD1-4.19.2	Degree of Precision
PD1-4.20	Expiration Date
PD1-4.20.1	Time
PD1-4.20.2	Degree of Precision
PD1-4.21	Professional Suffix
PD1-4.22	Assigning Jurisdiction
PD1-4.22.1	Identifier
PD1-4.22.2	Text
PD1-4.22.3	Name of Coding System
PD1-4.22.4	Alternate Identifier
PD1-4.22.5	Alternate Text
PD1-4.22.6	Name of Alternate Coding System
PD1-4.22.7	Coding System Version ID
PD1-4.22.8	Alternate Coding System Version ID
PD1-4.22.9	Original Text
PD1-4.23	Assigning Agency or Department
PD1-4.23.1	Identifier
PD1-4.23.2	Text
PD1-4.23.3	Name of Coding System
PD1-4.23.4	Alternate Identifier
PD1-4.23.5	Alternate Text
PD1-4.23.6	Name of Alternate Coding System
PD1-4.23.7	Coding System Version ID
PD1-4.23.8	Alternate Coding System Version ID
PD1-4.23.9	Original Text
PD1-5	Student Indicator
PD1-6	Handicap
PD1-7	Living Will Code
PD1-8	Organ Donor Code
PD1-9	Separate Bill
PD1-10	Duplicate Patient
PD1-10.1	ID Number
PD1-10.2	Check Digit
PD1-10.3	Check Digit Scheme
PD1-10.4	Assigning Authority
PD1-10.4.1	Namespace ID
PD1-10.4.2	Universal ID
PD1-10.4.3	Universal ID Type
PD1-10.5	Identifier Type Code
PD1-10.6	Assigning Facility
PD1-10.6.1	Namespace ID
PD1-10.6.2	Universal ID
PD1-10.6.3	Universal ID Type
PD1-10.7	Effective Date
PD1-10.8	Expiration Date
PD1-10.9	Assigning Jurisdiction
PD1-10.9.1	Identifier
PD1-10.9.2	Text
PD1-10.9.3	Name of Coding System
PD1-10.9.4	Alternate Identifier
PD1-10.9.5	Alternate Text
PD1-10.9.6	Name of Alternate Coding System
PD1-10.9.7	Coding System Version ID
PD1-10.9.8	Alternate Coding System Version ID
PD1-10.9.9	Original Text
PD1-10.10	Assigning Agency or Department
PD1-10.10.1	Identifier
PD1-10.10.2	Text
PD1-10.10.3	Name of Coding System
PD1-10.10.4	Alternate Identifier
PD1-10.10.5	Alternate Text
PD1-10.10.6	Name of Alternate Coding System
PD1-10.10.7	Coding System Version ID
PD1-10.10.8	Alternate Coding System Version ID
PD1-10.10.9	Original Text
PD1-11	Publicity Code
PD1-11.1	Identifier	02
PD1-11.2	Text	Reminder/recall - any method
PD1-11.3	Name of Coding System	HL70215
PD1-11.4	Alternate Identifier
PD1-11.5	Alternate Text
PD1-11.6	Name of Alternate Coding System
PD1-12	Protection Indicator	Y
PD1-13	Protection Indicator Effective Date	20150624
PD1-14	Place of Worship
PD1-14.1	Organization Name
PD1-14.2	Organization Name Type Code
PD1-14.3	ID Number
PD1-14.4	Check Digit
PD1-14.5	Check Digit Scheme
PD1-14.6	Assigning Authority
PD1-14.6.1	Namespace ID
PD1-14.6.2	Universal ID
PD1-14.6.3	Universal ID Type
PD1-14.7	Identifier Type Code
PD1-14.8	Assigning Facility
PD1-14.8.1	Namespace ID
PD1-14.8.2	Universal ID
PD1-14.8.3	Universal ID Type
PD1-14.9	Name Representation Code
PD1-14.10	Organization Identifier
PD1-15	Advance Directive Code
PD1-15.1	Identifier
PD1-15.2	Text
PD1-15.3	Name of Coding System
PD1-15.4	Alternate Identifier
PD1-15.5	Alternate Text
PD1-15.6	Name of Alternate Coding System
PD1-16	Immunization Registry Status	A
PD1-17	Immunization Registry Status Effective Date	20040602
PD1-18	Publicity Code Effective Date	20150624
PD1-19	Military Branch
PD1-20	Military Rank/Grade
PD1-21	Military Status

NK1 : Next of Kin / Associated Parties

Location	Data Elemenmt	Data	Categrization
NK1-1	Set ID - NK1	1
NK1-2	Name
NK1-2.1	Family Name
NK1-2.1.1	Surname	Banks
NK1-2.1.2	Own Surname Prefix
NK1-2.1.3	Own Surname
NK1-2.1.4	Surname Prefix From Partner/Spouse
NK1-2.1.5	Surname From Partner/Spouse
NK1-2.2	Given Name	Karl
NK1-2.3	Second and Further Given Names or Initials Thereof	Leonard
NK1-2.4	Suffix (e.g., JR or III)
NK1-2.5	Prefix (e.g., DR)
NK1-2.6	Degree (e.g., MD)
NK1-2.7	Name Type Code	L
NK1-2.8	Name Representation Code
NK1-2.9	Name Context
NK1-2.9.1	Identifier
NK1-2.9.2	Text
NK1-2.9.3	Name of Coding System
NK1-2.9.4	Alternate Identifier
NK1-2.9.5	Alternate Text
NK1-2.9.6	Name of Alternate Coding System
NK1-2.10	Name Validity Range
NK1-2.10.1	Range Start Date/Time
NK1-2.10.2	Range End Date/Time
NK1-2.11	Name Assembly Order
NK1-2.12	Effective Date
NK1-2.12.1	Time
NK1-2.12.2	Degree of Precision
NK1-2.13	Expiration Date
NK1-2.13.1	Time
NK1-2.13.2	Degree of Precision
NK1-2.14	Professional Suffix
NK1-3	Relationship
NK1-3.1	Identifier	FTH
NK1-3.2	Text	Father
NK1-3.3	Name of Coding System	HL70063
NK1-3.4	Alternate Identifier
NK1-3.5	Alternate Text
NK1-3.6	Name of Alternate Coding System
NK1-4	Address
NK1-4.1	Street Address
NK1-4.1.1	Street or Mailing Address	924 Sycamore Lane
NK1-4.1.2	Street Name
NK1-4.1.3	Dwelling Number
NK1-4.2	Other Designation
NK1-4.3	City	Bozeman
NK1-4.4	State or Province	MT
NK1-4.5	Zip or Postal Code	59715
NK1-4.6	Country	USA
NK1-4.7	Address Type	P
NK1-4.8	Other Geographic Designation
NK1-4.9	County/Parish Code
NK1-4.10	Census Tract
NK1-4.11	Address Representation Code
NK1-4.12	Address Validity Range
NK1-4.12.1	Range Start Date/Time
NK1-4.12.2	Range End Date/Time
NK1-4.13	Effective Date
NK1-4.13.1	Time
NK1-4.13.2	Degree of Precision
NK1-4.14	Expiration Date
NK1-4.14.1	Time
NK1-4.14.2	Degree of Precision
NK1-5	Phone Number
NK1-5.1	Telephone Number
NK1-5.2	Telecommunication Use Code	PRN
NK1-5.3	Telecommunication Equipment Type	PH
NK1-5.4	Email Address
NK1-5.5	Country Code
NK1-5.6	Area/City Code	406
NK1-5.7	Local Number	5555835
NK1-5.8	Extension
NK1-5.9	Any Text
NK1-5.10	Extension Prefix
NK1-5.11	Speed Dial Code
NK1-5.12	Unformatted Telephone number
NK1-6	Business Phone Number
NK1-6.1	Telephone Number
NK1-6.2	Telecommunication Use Code
NK1-6.3	Telecommunication Equipment Type
NK1-6.4	Email Address
NK1-6.5	Country Code
NK1-6.6	Area/City Code
NK1-6.7	Local Number
NK1-6.8	Extension
NK1-6.9	Any Text
NK1-6.10	Extension Prefix
NK1-6.11	Speed Dial Code
NK1-6.12	Unformatted Telephone number
NK1-7	Contact Role
NK1-7.1	Identifier
NK1-7.2	Text
NK1-7.3	Name of Coding System
NK1-7.4	Alternate Identifier
NK1-7.5	Alternate Text
NK1-7.6	Name of Alternate Coding System
NK1-8	Start Date
NK1-9	End Date
NK1-10	Next of Kin / Associated Parties Job Title
NK1-11	Next of Kin / Associated Parties Job Code/Class
NK1-11.1	Job Code
NK1-11.2	Job Class
NK1-11.3	Job Description Text
NK1-12	Next of Kin / Associated Parties Employee Number
NK1-12.1	ID Number
NK1-12.2	Check Digit
NK1-12.3	Check Digit Scheme
NK1-12.4	Assigning Authority
NK1-12.4.1	Namespace ID
NK1-12.4.2	Universal ID
NK1-12.4.3	Universal ID Type
NK1-12.5	Identifier Type Code
NK1-12.6	Assigning Facility
NK1-12.6.1	Namespace ID
NK1-12.6.2	Universal ID
NK1-12.6.3	Universal ID Type
NK1-12.7	Effective Date
NK1-12.8	Expiration Date
NK1-12.9	Assigning Jurisdiction
NK1-12.9.1	Identifier
NK1-12.9.2	Text
NK1-12.9.3	Name of Coding System
NK1-12.9.4	Alternate Identifier
NK1-12.9.5	Alternate Text
NK1-12.9.6	Name of Alternate Coding System
NK1-12.9.7	Coding System Version ID
NK1-12.9.8	Alternate Coding System Version ID
NK1-12.9.9	Original Text
NK1-12.10	Assigning Agency or Department
NK1-12.10.1	Identifier
NK1-12.10.2	Text
NK1-12.10.3	Name of Coding System
NK1-12.10.4	Alternate Identifier
NK1-12.10.5	Alternate Text
NK1-12.10.6	Name of Alternate Coding System
NK1-12.10.7	Coding System Version ID
NK1-12.10.8	Alternate Coding System Version ID
NK1-12.10.9	Original Text
NK1-13	Organization Name - NK1
NK1-13.1	Organization Name
NK1-13.2	Organization Name Type Code
NK1-13.3	ID Number
NK1-13.4	Check Digit
NK1-13.5	Check Digit Scheme
NK1-13.6	Assigning Authority
NK1-13.6.1	Namespace ID
NK1-13.6.2	Universal ID
NK1-13.6.3	Universal ID Type
NK1-13.7	Identifier Type Code
NK1-13.8	Assigning Facility
NK1-13.8.1	Namespace ID
NK1-13.8.2	Universal ID
NK1-13.8.3	Universal ID Type
NK1-13.9	Name Representation Code
NK1-13.10	Organization Identifier
NK1-14	Marital Status
NK1-14.1	Identifier
NK1-14.2	Text
NK1-14.3	Name of Coding System
NK1-14.4	Alternate Identifier
NK1-14.5	Alternate Text
NK1-14.6	Name of Alternate Coding System
NK1-15	Administrative Sex
NK1-16	Date/Time of Birth
NK1-16.1	Time
NK1-16.2	Degree of Precision
NK1-17	Living Dependency
NK1-18	Ambulatory Status
NK1-19	Citizenship
NK1-19.1	Identifier
NK1-19.2	Text
NK1-19.3	Name of Coding System
NK1-19.4	Alternate Identifier
NK1-19.5	Alternate Text
NK1-19.6	Name of Alternate Coding System
NK1-20	Primary Language
NK1-20.1	Identifier
NK1-20.2	Text
NK1-20.3	Name of Coding System
NK1-20.4	Alternate Identifier
NK1-20.5	Alternate Text
NK1-20.6	Name of Alternate Coding System
NK1-21	Living Arrangement
NK1-22	Publicity Code
NK1-22.1	Identifier
NK1-22.2	Text
NK1-22.3	Name of Coding System
NK1-22.4	Alternate Identifier
NK1-22.5	Alternate Text
NK1-22.6	Name of Alternate Coding System
NK1-23	Protection Indicator
NK1-24	Student Indicator
NK1-25	Religion
NK1-25.1	Identifier
NK1-25.2	Text
NK1-25.3	Name of Coding System
NK1-25.4	Alternate Identifier
NK1-25.5	Alternate Text
NK1-25.6	Name of Alternate Coding System
NK1-26	Mother's Maiden Name
NK1-26.1	Family Name
NK1-26.1.1	Surname
NK1-26.1.2	Own Surname Prefix
NK1-26.1.3	Own Surname
NK1-26.1.4	Surname Prefix From Partner/Spouse
NK1-26.1.5	Surname From Partner/Spouse
NK1-26.2	Given Name
NK1-26.3	Second and Further Given Names or Initials Thereof
NK1-26.4	Suffix (e.g., JR or III)
NK1-26.5	Prefix (e.g., DR)
NK1-26.6	Degree (e.g., MD)
NK1-26.7	Name Type Code
NK1-26.8	Name Representation Code
NK1-26.9	Name Context
NK1-26.9.1	Identifier
NK1-26.9.2	Text
NK1-26.9.3	Name of Coding System
NK1-26.9.4	Alternate Identifier
NK1-26.9.5	Alternate Text
NK1-26.9.6	Name of Alternate Coding System
NK1-26.10	Name Validity Range
NK1-26.10.1	Range Start Date/Time
NK1-26.10.2	Range End Date/Time
NK1-26.11	Name Assembly Order
NK1-26.12	Effective Date
NK1-26.12.1	Time
NK1-26.12.2	Degree of Precision
NK1-26.13	Expiration Date
NK1-26.13.1	Time
NK1-26.13.2	Degree of Precision
NK1-26.14	Professional Suffix
NK1-27	Nationality
NK1-27.1	Identifier
NK1-27.2	Text
NK1-27.3	Name of Coding System
NK1-27.4	Alternate Identifier
NK1-27.5	Alternate Text
NK1-27.6	Name of Alternate Coding System
NK1-28	Ethnic Group
NK1-28.1	Identifier
NK1-28.2	Text
NK1-28.3	Name of Coding System
NK1-28.4	Alternate Identifier
NK1-28.5	Alternate Text
NK1-28.6	Name of Alternate Coding System
NK1-29	Contact Reason
NK1-29.1	Identifier
NK1-29.2	Text
NK1-29.3	Name of Coding System
NK1-29.4	Alternate Identifier
NK1-29.5	Alternate Text
NK1-29.6	Name of Alternate Coding System
NK1-30	Contact Person's Name
NK1-30.1	Family Name
NK1-30.1.1	Surname
NK1-30.1.2	Own Surname Prefix
NK1-30.1.3	Own Surname
NK1-30.1.4	Surname Prefix From Partner/Spouse
NK1-30.1.5	Surname From Partner/Spouse
NK1-30.2	Given Name
NK1-30.3	Second and Further Given Names or Initials Thereof
NK1-30.4	Suffix (e.g., JR or III)
NK1-30.5	Prefix (e.g., DR)
NK1-30.6	Degree (e.g., MD)
NK1-30.7	Name Type Code
NK1-30.8	Name Representation Code
NK1-30.9	Name Context
NK1-30.9.1	Identifier
NK1-30.9.2	Text
NK1-30.9.3	Name of Coding System
NK1-30.9.4	Alternate Identifier
NK1-30.9.5	Alternate Text
NK1-30.9.6	Name of Alternate Coding System
NK1-30.10	Name Validity Range
NK1-30.10.1	Range Start Date/Time
NK1-30.10.2	Range End Date/Time
NK1-30.11	Name Assembly Order
NK1-30.12	Effective Date
NK1-30.12.1	Time
NK1-30.12.2	Degree of Precision
NK1-30.13	Expiration Date
NK1-30.13.1	Time
NK1-30.13.2	Degree of Precision
NK1-30.14	Professional Suffix
NK1-31	Contact Person's Telephone Number
NK1-31.1	Telephone Number
NK1-31.2	Telecommunication Use Code
NK1-31.3	Telecommunication Equipment Type
NK1-31.4	Email Address
NK1-31.5	Country Code
NK1-31.6	Area/City Code
NK1-31.7	Local Number
NK1-31.8	Extension
NK1-31.9	Any Text
NK1-31.10	Extension Prefix
NK1-31.11	Speed Dial Code
NK1-31.12	Unformatted Telephone number
NK1-32	Contact Person's Address
NK1-32.1	Street Address
NK1-32.1.1	Street or Mailing Address
NK1-32.1.2	Street Name
NK1-32.1.3	Dwelling Number
NK1-32.2	Other Designation
NK1-32.3	City
NK1-32.4	State or Province
NK1-32.5	Zip or Postal Code
NK1-32.6	Country
NK1-32.7	Address Type
NK1-32.8	Other Geographic Designation
NK1-32.9	County/Parish Code
NK1-32.10	Census Tract
NK1-32.11	Address Representation Code
NK1-32.12	Address Validity Range
NK1-32.12.1	Range Start Date/Time
NK1-32.12.2	Range End Date/Time
NK1-32.13	Effective Date
NK1-32.13.1	Time
NK1-32.13.2	Degree of Precision
NK1-32.14	Expiration Date
NK1-32.14.1	Time
NK1-32.14.2	Degree of Precision
NK1-33	Next of Kin/Associated Party's Identifiers
NK1-33.1	ID Number
NK1-33.2	Check Digit
NK1-33.3	Check Digit Scheme
NK1-33.4	Assigning Authority
NK1-33.4.1	Namespace ID
NK1-33.4.2	Universal ID
NK1-33.4.3	Universal ID Type
NK1-33.5	Identifier Type Code
NK1-33.6	Assigning Facility
NK1-33.6.1	Namespace ID
NK1-33.6.2	Universal ID
NK1-33.6.3	Universal ID Type
NK1-33.7	Effective Date
NK1-33.8	Expiration Date
NK1-33.9	Assigning Jurisdiction
NK1-33.9.1	Identifier
NK1-33.9.2	Text
NK1-33.9.3	Name of Coding System
NK1-33.9.4	Alternate Identifier
NK1-33.9.5	Alternate Text
NK1-33.9.6	Name of Alternate Coding System
NK1-33.9.7	Coding System Version ID
NK1-33.9.8	Alternate Coding System Version ID
NK1-33.9.9	Original Text
NK1-33.10	Assigning Agency or Department
NK1-33.10.1	Identifier
NK1-33.10.2	Text
NK1-33.10.3	Name of Coding System
NK1-33.10.4	Alternate Identifier
NK1-33.10.5	Alternate Text
NK1-33.10.6	Name of Alternate Coding System
NK1-33.10.7	Coding System Version ID
NK1-33.10.8	Alternate Coding System Version ID
NK1-33.10.9	Original Text
NK1-34	Job Status
NK1-35	Race
NK1-35.1	Identifier
NK1-35.2	Text
NK1-35.3	Name of Coding System
NK1-35.4	Alternate Identifier
NK1-35.5	Alternate Text
NK1-35.6	Name of Alternate Coding System
NK1-36	Handicap
NK1-37	Contact Person Social Security Number
NK1-38	Next of Kin Birth Place
NK1-39	VIP Indicator

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	5027
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	12128
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150624
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	83
RXA-5.2	Text	Hep A, ped/adol, 2 dose
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	208490
RXA-16	Substance Expiration Date
RXA-16.1	Time	20160120
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	MSD
RXA-17.2	Text	Merck and Co., Inc.
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	U
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	Intramuscular
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier	RT
RXR-2.2	Text	Right Thigh
RXR-2.3	Name of Coding System	HL70163
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	PHC70
OBX-5.2	Text	Private
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V01
OBX-5.2	Text	Not VFC Eligible
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300004211111025
OBX-5.2	Text	Hepatitis A VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150624
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150624
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

Test Data Specification

Patient Information

Element	Data
Patient Name	Tyler Owen Banks
Mother's Maiden Name
ID Number	8891
Date/Time of Birth	06/02/2004
Administrative Sex	Male
Patient Address	924 Sycamore Lane Bozeman MT 59715 USA
Local Number	(406)555-5835
Race	White
Ethnic Group	Not Hispanic or Latino
Birth Order	1

Immunization Registry Information

Element	Data
Immunization Registry Status	A
Immunization Registry Status Effective Date	06/02/2004
Publicity Code	Reminder/recall - any method
Publicity Code Effective Date	06/24/2015
Protection Indicator	Yes
Protection Indicator Effective Date	06/24/2015

Guardian or Responsible Party

Element	Data
Name	Karl Leonard Banks
Relationship	Father
Address	924 Sycamore Lane Bozeman MT 59715 USA
Phone Number	(406)555-5835

Vaccine Administration Information

Element	Data
Administered Code	Hep A, ped/adol, 2 dose
Date/Time Start of Administration	06/24/2015
Administered Amount	0.5
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	208490
Substance Expiration Date	01/20/2016
Substance Manufacturer Name	Merck and Co., Inc.
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Update
Route	Intramuscular
Administration Site	Right Thigh
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Private
Vaccine Funding Program Eligibility	Not VFC Eligible
Document Type	Hepatitis A VIS
Date Vis Presented

1.7.2. Consume acknowledgement message

ests the ability to consume a valid ACK message

Test Story

Description

The IIS returns an acknowledgement message indicating that a fatal error was found during the course of processing the message.

Comments

No Comments

PreCondition

A VXU message is generated by the EHR.

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

The acknowledgement message is consumed by the system responsible for the content of the administration message without error.

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	IIS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	wcEHR
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150624093847.822-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	ACK
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	ACK
MSH-10	Message Control ID	79946
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z23
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	IIS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	wcEHR
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AA
MSA-2	Message Control ID	18019
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

1.8. TC-8

Historical administration resulting in fatal error

Test Story

Description

A patient is seen at a clinic. A historical vaccination is recorded but the IIS is unable to process the administration message, rejects it and returns a fatal error in the acknowledgement message.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

The returned error must be visible in the EHR.

Test Objectives

This test case assesses the ability of the EHR to accept an acknowledgement message with a fatal error being returned by the IIS.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

1.8.1. Send administration message

Tests the ability to create a valid VXU^V04 message

Test Story

Description

A 66 year old female, Helen Barrett, comes to the West Clinic for a physical. A clinic staff member collects basic patient demographic information including name, date of birth and sex. The patient reports that she received a Zoster vaccination at a local pharmacy on her 65th birthday. The clinic staff determine that no further vaccinations are required. A clinician, Lily Jackson (ID 7824) enters the historical data into the EHR and transmits it to the IIS.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	wcEHR
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	IIS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150625121047.839-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	VXU
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	VXU_V04
MSH-10	Message Control ID	35560
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER
MSH-16	Application Acknowledgment Type	AL
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z22
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	wcEHR
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	IIS
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

PID : Patient Identification

Location	Data Elemenmt	Data	Categrization
PID-1	Set ID - PID	1
PID-2	Patient ID
PID-2.1	ID Number
PID-2.2	Check Digit
PID-2.3	Check Digit Scheme
PID-2.4	Assigning Authority
PID-2.4.1	Namespace ID
PID-2.4.2	Universal ID
PID-2.4.3	Universal ID Type
PID-2.5	Identifier Type Code
PID-2.6	Assigning Facility
PID-2.6.1	Namespace ID
PID-2.6.2	Universal ID
PID-2.6.3	Universal ID Type
PID-2.7	Effective Date
PID-2.8	Expiration Date
PID-2.9	Assigning Jurisdiction
PID-2.9.1	Identifier
PID-2.9.2	Text
PID-2.9.3	Name of Coding System
PID-2.9.4	Alternate Identifier
PID-2.9.5	Alternate Text
PID-2.9.6	Name of Alternate Coding System
PID-2.9.7	Coding System Version ID
PID-2.9.8	Alternate Coding System Version ID
PID-2.9.9	Original Text
PID-2.10	Assigning Agency or Department
PID-2.10.1	Identifier
PID-2.10.2	Text
PID-2.10.3	Name of Coding System
PID-2.10.4	Alternate Identifier
PID-2.10.5	Alternate Text
PID-2.10.6	Name of Alternate Coding System
PID-2.10.7	Coding System Version ID
PID-2.10.8	Alternate Coding System Version ID
PID-2.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	7120
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	wcEHR
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	MR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-4	Alternate Patient ID - PID
PID-4.1	ID Number
PID-4.2	Check Digit
PID-4.3	Check Digit Scheme
PID-4.4	Assigning Authority
PID-4.4.1	Namespace ID
PID-4.4.2	Universal ID
PID-4.4.3	Universal ID Type
PID-4.5	Identifier Type Code
PID-4.6	Assigning Facility
PID-4.6.1	Namespace ID
PID-4.6.2	Universal ID
PID-4.6.3	Universal ID Type
PID-4.7	Effective Date
PID-4.8	Expiration Date
PID-4.9	Assigning Jurisdiction
PID-4.9.1	Identifier
PID-4.9.2	Text
PID-4.9.3	Name of Coding System
PID-4.9.4	Alternate Identifier
PID-4.9.5	Alternate Text
PID-4.9.6	Name of Alternate Coding System
PID-4.9.7	Coding System Version ID
PID-4.9.8	Alternate Coding System Version ID
PID-4.9.9	Original Text
PID-4.10	Assigning Agency or Department
PID-4.10.1	Identifier
PID-4.10.2	Text
PID-4.10.3	Name of Coding System
PID-4.10.4	Alternate Identifier
PID-4.10.5	Alternate Text
PID-4.10.6	Name of Alternate Coding System
PID-4.10.7	Coding System Version ID
PID-4.10.8	Alternate Coding System Version ID
PID-4.10.9	Original Text
PID-5	Patient Name
PID-5.1	Family Name
PID-5.1.1	Surname	Barrett
PID-5.1.2	Own Surname Prefix
PID-5.1.3	Own Surname
PID-5.1.4	Surname Prefix From Partner/Spouse
PID-5.1.5	Surname From Partner/Spouse
PID-5.2	Given Name	Helen
PID-5.3	Second and Further Given Names or Initials Thereof
PID-5.4	Suffix (e.g., JR or III)
PID-5.5	Prefix (e.g., DR)
PID-5.6	Degree (e.g., MD)
PID-5.7	Name Type Code	L
PID-5.8	Name Representation Code
PID-5.9	Name Context
PID-5.9.1	Identifier
PID-5.9.2	Text
PID-5.9.3	Name of Coding System
PID-5.9.4	Alternate Identifier
PID-5.9.5	Alternate Text
PID-5.9.6	Name of Alternate Coding System
PID-5.10	Name Validity Range
PID-5.10.1	Range Start Date/Time
PID-5.10.2	Range End Date/Time
PID-5.11	Name Assembly Order
PID-5.12	Effective Date
PID-5.12.1	Time
PID-5.12.2	Degree of Precision
PID-5.13	Expiration Date
PID-5.13.1	Time
PID-5.13.2	Degree of Precision
PID-5.14	Professional Suffix
PID-6	Mother's Maiden Name
PID-6.1	Family Name
PID-6.1.1	Surname
PID-6.1.2	Own Surname Prefix
PID-6.1.3	Own Surname
PID-6.1.4	Surname Prefix From Partner/Spouse
PID-6.1.5	Surname From Partner/Spouse
PID-6.2	Given Name
PID-6.3	Second and Further Given Names or Initials Thereof
PID-6.4	Suffix (e.g., JR or III)
PID-6.5	Prefix (e.g., DR)
PID-6.6	Degree (e.g., MD)
PID-6.7	Name Type Code
PID-6.8	Name Representation Code
PID-6.9	Name Context
PID-6.9.1	Identifier
PID-6.9.2	Text
PID-6.9.3	Name of Coding System
PID-6.9.4	Alternate Identifier
PID-6.9.5	Alternate Text
PID-6.9.6	Name of Alternate Coding System
PID-6.10	Name Validity Range
PID-6.10.1	Range Start Date/Time
PID-6.10.2	Range End Date/Time
PID-6.11	Name Assembly Order
PID-6.12	Effective Date
PID-6.12.1	Time
PID-6.12.2	Degree of Precision
PID-6.13	Expiration Date
PID-6.13.1	Time
PID-6.13.2	Degree of Precision
PID-6.14	Professional Suffix
PID-7	Date/Time of Birth
PID-7.1	Time	19500317
PID-7.2	Degree of Precision
PID-8	Administrative Sex	F
PID-9	Patient Alias
PID-9.1	Family Name
PID-9.1.1	Surname
PID-9.1.2	Own Surname Prefix
PID-9.1.3	Own Surname
PID-9.1.4	Surname Prefix From Partner/Spouse
PID-9.1.5	Surname From Partner/Spouse
PID-9.2	Given Name
PID-9.3	Second and Further Given Names or Initials Thereof
PID-9.4	Suffix (e.g., JR or III)
PID-9.5	Prefix (e.g., DR)
PID-9.6	Degree (e.g., MD)
PID-9.7	Name Type Code
PID-9.8	Name Representation Code
PID-9.9	Name Context
PID-9.9.1	Identifier
PID-9.9.2	Text
PID-9.9.3	Name of Coding System
PID-9.9.4	Alternate Identifier
PID-9.9.5	Alternate Text
PID-9.9.6	Name of Alternate Coding System
PID-9.10	Name Validity Range
PID-9.10.1	Range Start Date/Time
PID-9.10.2	Range End Date/Time
PID-9.11	Name Assembly Order
PID-9.12	Effective Date
PID-9.12.1	Time
PID-9.12.2	Degree of Precision
PID-9.13	Expiration Date
PID-9.13.1	Time
PID-9.13.2	Degree of Precision
PID-9.14	Professional Suffix
PID-10	Race
PID-10.1	Identifier	2106-3
PID-10.2	Text	White
PID-10.3	Name of Coding System	CDCREC
PID-10.4	Alternate Identifier
PID-10.5	Alternate Text
PID-10.6	Name of Alternate Coding System
PID-11	Patient Address
PID-11.1	Street Address
PID-11.1.1	Street or Mailing Address	763 Main St
PID-11.1.2	Street Name
PID-11.1.3	Dwelling Number
PID-11.2	Other Designation
PID-11.3	City	Bozeman
PID-11.4	State or Province	MT
PID-11.5	Zip or Postal Code	59715
PID-11.6	Country	USA
PID-11.7	Address Type	P
PID-11.8	Other Geographic Designation
PID-11.9	County/Parish Code
PID-11.10	Census Tract
PID-11.11	Address Representation Code
PID-11.12	Address Validity Range
PID-11.12.1	Range Start Date/Time
PID-11.12.2	Range End Date/Time
PID-11.13	Effective Date
PID-11.13.1	Time
PID-11.13.2	Degree of Precision
PID-11.14	Expiration Date
PID-11.14.1	Time
PID-11.14.2	Degree of Precision
PID-12	County Code
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	PRN
PID-13.3	Telecommunication Equipment Type	PH
PID-13.4	Email Address
PID-13.5	Country Code
PID-13.6	Area/City Code	406
PID-13.7	Local Number	5554064
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	NET
PID-13.3	Telecommunication Equipment Type
PID-13.4	Email Address	Helen.Barrett@isp.com
PID-13.5	Country Code
PID-13.6	Area/City Code
PID-13.7	Local Number
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-14	Phone Number - Business
PID-14.1	Telephone Number
PID-14.2	Telecommunication Use Code
PID-14.3	Telecommunication Equipment Type
PID-14.4	Email Address
PID-14.5	Country Code
PID-14.6	Area/City Code
PID-14.7	Local Number
PID-14.8	Extension
PID-14.9	Any Text
PID-14.10	Extension Prefix
PID-14.11	Speed Dial Code
PID-14.12	Unformatted Telephone number
PID-15	Primary Language
PID-15.1	Identifier
PID-15.2	Text
PID-15.3	Name of Coding System
PID-15.4	Alternate Identifier
PID-15.5	Alternate Text
PID-15.6	Name of Alternate Coding System
PID-16	Marital Status
PID-16.1	Identifier
PID-16.2	Text
PID-16.3	Name of Coding System
PID-16.4	Alternate Identifier
PID-16.5	Alternate Text
PID-16.6	Name of Alternate Coding System
PID-17	Religion
PID-17.1	Identifier
PID-17.2	Text
PID-17.3	Name of Coding System
PID-17.4	Alternate Identifier
PID-17.5	Alternate Text
PID-17.6	Name of Alternate Coding System
PID-18	Patient Account Number
PID-18.1	ID Number
PID-18.2	Check Digit
PID-18.3	Check Digit Scheme
PID-18.4	Assigning Authority
PID-18.4.1	Namespace ID
PID-18.4.2	Universal ID
PID-18.4.3	Universal ID Type
PID-18.5	Identifier Type Code
PID-18.6	Assigning Facility
PID-18.6.1	Namespace ID
PID-18.6.2	Universal ID
PID-18.6.3	Universal ID Type
PID-18.7	Effective Date
PID-18.8	Expiration Date
PID-18.9	Assigning Jurisdiction
PID-18.9.1	Identifier
PID-18.9.2	Text
PID-18.9.3	Name of Coding System
PID-18.9.4	Alternate Identifier
PID-18.9.5	Alternate Text
PID-18.9.6	Name of Alternate Coding System
PID-18.9.7	Coding System Version ID
PID-18.9.8	Alternate Coding System Version ID
PID-18.9.9	Original Text
PID-18.10	Assigning Agency or Department
PID-18.10.1	Identifier
PID-18.10.2	Text
PID-18.10.3	Name of Coding System
PID-18.10.4	Alternate Identifier
PID-18.10.5	Alternate Text
PID-18.10.6	Name of Alternate Coding System
PID-18.10.7	Coding System Version ID
PID-18.10.8	Alternate Coding System Version ID
PID-18.10.9	Original Text
PID-19	SSN Number - Patient
PID-20	Driver's License Number - Patient
PID-20.1	License Number
PID-20.2	Issuing State, Province, Country
PID-20.3	Expiration Date
PID-21	Mother's Identifier
PID-21.1	ID Number
PID-21.2	Check Digit
PID-21.3	Check Digit Scheme
PID-21.4	Assigning Authority
PID-21.4.1	Namespace ID
PID-21.4.2	Universal ID
PID-21.4.3	Universal ID Type
PID-21.5	Identifier Type Code
PID-21.6	Assigning Facility
PID-21.6.1	Namespace ID
PID-21.6.2	Universal ID
PID-21.6.3	Universal ID Type
PID-21.7	Effective Date
PID-21.8	Expiration Date
PID-21.9	Assigning Jurisdiction
PID-21.9.1	Identifier
PID-21.9.2	Text
PID-21.9.3	Name of Coding System
PID-21.9.4	Alternate Identifier
PID-21.9.5	Alternate Text
PID-21.9.6	Name of Alternate Coding System
PID-21.9.7	Coding System Version ID
PID-21.9.8	Alternate Coding System Version ID
PID-21.9.9	Original Text
PID-21.10	Assigning Agency or Department
PID-21.10.1	Identifier
PID-21.10.2	Text
PID-21.10.3	Name of Coding System
PID-21.10.4	Alternate Identifier
PID-21.10.5	Alternate Text
PID-21.10.6	Name of Alternate Coding System
PID-21.10.7	Coding System Version ID
PID-21.10.8	Alternate Coding System Version ID
PID-21.10.9	Original Text
PID-22	Ethnic Group
PID-22.1	Identifier	2186-5
PID-22.2	Text	Not Hispanic or Latino
PID-22.3	Name of Coding System	CDCREC
PID-22.4	Alternate Identifier
PID-22.5	Alternate Text
PID-22.6	Name of Alternate Coding System
PID-23	Birth Place
PID-24	Multiple Birth Indicator	N
PID-25	Birth Order	1
PID-26	Citizenship
PID-26.1	Identifier
PID-26.2	Text
PID-26.3	Name of Coding System
PID-26.4	Alternate Identifier
PID-26.5	Alternate Text
PID-26.6	Name of Alternate Coding System
PID-27	Veterans Military Status
PID-27.1	Identifier
PID-27.2	Text
PID-27.3	Name of Coding System
PID-27.4	Alternate Identifier
PID-27.5	Alternate Text
PID-27.6	Name of Alternate Coding System
PID-28	Nationality
PID-28.1	Identifier
PID-28.2	Text
PID-28.3	Name of Coding System
PID-28.4	Alternate Identifier
PID-28.5	Alternate Text
PID-28.6	Name of Alternate Coding System
PID-29	Patient Death Date and Time
PID-29.1	Time
PID-29.2	Degree of Precision
PID-30	Patient Death Indicator	N
PID-31	Identity Unknown Indicator
PID-32	Identity Reliability Code
PID-33	Last Update Date/Time
PID-33.1	Time
PID-33.2	Degree of Precision
PID-34	Last Update Facility
PID-34.1	Namespace ID
PID-34.2	Universal ID
PID-34.3	Universal ID Type
PID-35	Species Code
PID-35.1	Identifier
PID-35.2	Text
PID-35.3	Name of Coding System
PID-35.4	Alternate Identifier
PID-35.5	Alternate Text
PID-35.6	Name of Alternate Coding System
PID-36	Breed Code
PID-36.1	Identifier
PID-36.2	Text
PID-36.3	Name of Coding System
PID-36.4	Alternate Identifier
PID-36.5	Alternate Text
PID-36.6	Name of Alternate Coding System
PID-37	Strain
PID-38	Production Class Code
PID-38.1	Identifier
PID-38.2	Text
PID-38.3	Name of Coding System
PID-38.4	Alternate Identifier
PID-38.5	Alternate Text
PID-38.6	Name of Alternate Coding System
PID-39	Tribal Citizenship
PID-39.1	Identifier
PID-39.2	Text
PID-39.3	Name of Coding System
PID-39.4	Alternate Identifier
PID-39.5	Alternate Text
PID-39.6	Name of Alternate Coding System
PID-39.7	Coding System Version ID
PID-39.8	Alternate Coding System Version ID
PID-39.9	Original Text

PD1 : Patient Additional Demographic

Location	Data Elemenmt	Data	Categrization
PD1-1	Living Dependency
PD1-2	Living Arrangement
PD1-3	Patient Primary Facility
PD1-3.1	Organization Name
PD1-3.2	Organization Name Type Code
PD1-3.3	ID Number
PD1-3.4	Check Digit
PD1-3.5	Check Digit Scheme
PD1-3.6	Assigning Authority
PD1-3.6.1	Namespace ID
PD1-3.6.2	Universal ID
PD1-3.6.3	Universal ID Type
PD1-3.7	Identifier Type Code
PD1-3.8	Assigning Facility
PD1-3.8.1	Namespace ID
PD1-3.8.2	Universal ID
PD1-3.8.3	Universal ID Type
PD1-3.9	Name Representation Code
PD1-3.10	Organization Identifier
PD1-4	Patient Primary Care Provider Name & ID No.
PD1-4.1	ID Number
PD1-4.2	Family Name
PD1-4.2.1	Surname
PD1-4.2.2	Own Surname Prefix
PD1-4.2.3	Own Surname
PD1-4.2.4	Surname Prefix From Partner/Spouse
PD1-4.2.5	Surname From Partner/Spouse
PD1-4.3	Given Name
PD1-4.4	Second and Further Given Names or Initials Thereof
PD1-4.5	Suffix (e.g., JR or III)
PD1-4.6	Prefix (e.g., DR)
PD1-4.7	Degree (e.g., MD)
PD1-4.8	Source Table
PD1-4.9	Assigning Authority
PD1-4.9.1	Namespace ID
PD1-4.9.2	Universal ID
PD1-4.9.3	Universal ID Type
PD1-4.10	Name Type Code
PD1-4.11	Identifier Check Digit
PD1-4.12	Check Digit Scheme
PD1-4.13	Identifier Type Code
PD1-4.14	Assigning Facility
PD1-4.14.1	Namespace ID
PD1-4.14.2	Universal ID
PD1-4.14.3	Universal ID Type
PD1-4.15	Name Representation Code
PD1-4.16	Name Context
PD1-4.16.1	Identifier
PD1-4.16.2	Text
PD1-4.16.3	Name of Coding System
PD1-4.16.4	Alternate Identifier
PD1-4.16.5	Alternate Text
PD1-4.16.6	Name of Alternate Coding System
PD1-4.17	Name Validity Range
PD1-4.17.1	Range Start Date/Time
PD1-4.17.2	Range End Date/Time
PD1-4.18	Name Assembly Order
PD1-4.19	Effective Date
PD1-4.19.1	Time
PD1-4.19.2	Degree of Precision
PD1-4.20	Expiration Date
PD1-4.20.1	Time
PD1-4.20.2	Degree of Precision
PD1-4.21	Professional Suffix
PD1-4.22	Assigning Jurisdiction
PD1-4.22.1	Identifier
PD1-4.22.2	Text
PD1-4.22.3	Name of Coding System
PD1-4.22.4	Alternate Identifier
PD1-4.22.5	Alternate Text
PD1-4.22.6	Name of Alternate Coding System
PD1-4.22.7	Coding System Version ID
PD1-4.22.8	Alternate Coding System Version ID
PD1-4.22.9	Original Text
PD1-4.23	Assigning Agency or Department
PD1-4.23.1	Identifier
PD1-4.23.2	Text
PD1-4.23.3	Name of Coding System
PD1-4.23.4	Alternate Identifier
PD1-4.23.5	Alternate Text
PD1-4.23.6	Name of Alternate Coding System
PD1-4.23.7	Coding System Version ID
PD1-4.23.8	Alternate Coding System Version ID
PD1-4.23.9	Original Text
PD1-5	Student Indicator
PD1-6	Handicap
PD1-7	Living Will Code
PD1-8	Organ Donor Code
PD1-9	Separate Bill
PD1-10	Duplicate Patient
PD1-10.1	ID Number
PD1-10.2	Check Digit
PD1-10.3	Check Digit Scheme
PD1-10.4	Assigning Authority
PD1-10.4.1	Namespace ID
PD1-10.4.2	Universal ID
PD1-10.4.3	Universal ID Type
PD1-10.5	Identifier Type Code
PD1-10.6	Assigning Facility
PD1-10.6.1	Namespace ID
PD1-10.6.2	Universal ID
PD1-10.6.3	Universal ID Type
PD1-10.7	Effective Date
PD1-10.8	Expiration Date
PD1-10.9	Assigning Jurisdiction
PD1-10.9.1	Identifier
PD1-10.9.2	Text
PD1-10.9.3	Name of Coding System
PD1-10.9.4	Alternate Identifier
PD1-10.9.5	Alternate Text
PD1-10.9.6	Name of Alternate Coding System
PD1-10.9.7	Coding System Version ID
PD1-10.9.8	Alternate Coding System Version ID
PD1-10.9.9	Original Text
PD1-10.10	Assigning Agency or Department
PD1-10.10.1	Identifier
PD1-10.10.2	Text
PD1-10.10.3	Name of Coding System
PD1-10.10.4	Alternate Identifier
PD1-10.10.5	Alternate Text
PD1-10.10.6	Name of Alternate Coding System
PD1-10.10.7	Coding System Version ID
PD1-10.10.8	Alternate Coding System Version ID
PD1-10.10.9	Original Text
PD1-11	Publicity Code
PD1-11.1	Identifier	06
PD1-11.2	Text	Recall only - any method
PD1-11.3	Name of Coding System	HL70215
PD1-11.4	Alternate Identifier
PD1-11.5	Alternate Text
PD1-11.6	Name of Alternate Coding System
PD1-12	Protection Indicator	Y
PD1-13	Protection Indicator Effective Date	20150625
PD1-14	Place of Worship
PD1-14.1	Organization Name
PD1-14.2	Organization Name Type Code
PD1-14.3	ID Number
PD1-14.4	Check Digit
PD1-14.5	Check Digit Scheme
PD1-14.6	Assigning Authority
PD1-14.6.1	Namespace ID
PD1-14.6.2	Universal ID
PD1-14.6.3	Universal ID Type
PD1-14.7	Identifier Type Code
PD1-14.8	Assigning Facility
PD1-14.8.1	Namespace ID
PD1-14.8.2	Universal ID
PD1-14.8.3	Universal ID Type
PD1-14.9	Name Representation Code
PD1-14.10	Organization Identifier
PD1-15	Advance Directive Code
PD1-15.1	Identifier
PD1-15.2	Text
PD1-15.3	Name of Coding System
PD1-15.4	Alternate Identifier
PD1-15.5	Alternate Text
PD1-15.6	Name of Alternate Coding System
PD1-16	Immunization Registry Status	A
PD1-17	Immunization Registry Status Effective Date	19500317
PD1-18	Publicity Code Effective Date	20150625
PD1-19	Military Branch
PD1-20	Military Rank/Grade
PD1-21	Military Status

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	7646
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	53100
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150317
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	121
RXA-5.2	Text	zoster
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	Historical Administration
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

Test Data Specification

Patient Information

Element	Data
Patient Name	Helen Barrett
Mother's Maiden Name
ID Number	7120
Date/Time of Birth	03/17/1950
Administrative Sex	Female
Patient Address	763 Main St Bozeman MT 59715 USA
Local Number	(406)555-4064
Email	Helen.Barrett@isp.com
Race	White
Ethnic Group	Not Hispanic or Latino
Birth Order	1

Immunization Registry Information

Element	Data
Immunization Registry Status	A
Immunization Registry Status Effective Date	03/17/1950
Publicity Code	Recall only - any method
Publicity Code Effective Date	06/25/2015
Protection Indicator	Yes
Protection Indicator Effective Date	06/25/2015

Vaccine Administration Information

Element	Data
Administered Code	zoster
Date/Time Start of Administration	03/17/2015
Administered Amount	999
Administered Units
Administration Notes	Historical Administration
Administering Provider
Substance Lot Number
Substance Expiration Date
Substance Manufacturer Name
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route
Administration Site
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By

1.8.2. Consume acknowledgement message

Tests the ability to consume an ACK message containing a fatal error

Test Story

Description

The IIS has a mapping error in their CVX table and is unable to recognize the CVX code sent in RXA-5 even though it is valid. The IIS is unable to identify the appropriate vaccine, which is a required element, and rejects the message. The acknowledgement message returned contains errors for the table mapping, missing required field (RXA-5) and missing required segment (RXA).

Comments

No Comments

PreCondition

A VXU message is generated by the EHR.

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

The errors returned in the ACK message must be visible in the EHR.

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	IIS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	wcEHR
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150625121047.853-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	ACK
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	ACK
MSH-10	Message Control ID	20428
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z23
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	IIS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	wcEHR
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AE
MSA-2	Message Control ID	35560
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

ERR : Error

Location	Data Elemenmt	Data	Categrization
ERR-1	Error Code and Location
ERR-1.1	Segment ID
ERR-1.2	Segment Sequence
ERR-1.3	Field Position
ERR-1.4	Code Identifying Error
ERR-1.4.1	Identifier
ERR-1.4.2	Text
ERR-1.4.3	Name of Coding System
ERR-1.4.4	Alternate Identifier
ERR-1.4.5	Alternate Text
ERR-1.4.6	Name of Alternate Coding System
ERR-2	Error Location
ERR-2.1	Segment ID	RXA
ERR-2.2	Segment Sequence	1
ERR-2.3	Field Position	5
ERR-2.4	Field Repetition	1
ERR-2.5	Component Number	1
ERR-2.6	Sub-Component Number
ERR-3	HL7 Error Code
ERR-3.1	Identifier	999
ERR-3.2	Text	Application error
ERR-3.3	Name of Coding System	HL70357
ERR-3.4	Alternate Identifier
ERR-3.5	Alternate Text
ERR-3.6	Name of Alternate Coding System
ERR-3.7	Coding System Version ID
ERR-3.8	Alternate Coding System Version ID
ERR-3.9	Original Text
ERR-4	Severity	E
ERR-5	Application Error Code
ERR-5.1	Identifier	5
ERR-5.2	Text	Table value not found
ERR-5.3	Name of Coding System	HL70533
ERR-5.4	Alternate Identifier
ERR-5.5	Alternate Text
ERR-5.6	Name of Alternate Coding System
ERR-5.7	Coding System Version ID
ERR-5.8	Alternate Coding System Version ID
ERR-5.9	Original Text
ERR-6	Application Error Parameter
ERR-7	Diagnostic Information
ERR-8	User Message	Vaccine code not recognized - message rejected
ERR-9	Inform Person Indicator
ERR-10	Override Type
ERR-10.1	Identifier
ERR-10.2	Text
ERR-10.3	Name of Coding System
ERR-10.4	Alternate Identifier
ERR-10.5	Alternate Text
ERR-10.6	Name of Alternate Coding System
ERR-10.7	Coding System Version ID
ERR-10.8	Alternate Coding System Version ID
ERR-10.9	Original Text
ERR-11	Override Reason Code
ERR-11.1	Identifier
ERR-11.2	Text
ERR-11.3	Name of Coding System
ERR-11.4	Alternate Identifier
ERR-11.5	Alternate Text
ERR-11.6	Name of Alternate Coding System
ERR-11.7	Coding System Version ID
ERR-11.8	Alternate Coding System Version ID
ERR-11.9	Original Text
ERR-12	Help Desk Contact Point
ERR-12.1	Telephone Number
ERR-12.2	Telecommunication Use Code
ERR-12.3	Telecommunication Equipment Type
ERR-12.4	Email Address
ERR-12.5	Country Code
ERR-12.6	Area/City Code
ERR-12.7	Local Number
ERR-12.8	Extension
ERR-12.9	Any Text
ERR-12.10	Extension Prefix
ERR-12.11	Speed Dial Code
ERR-12.12	Unformatted Telephone number

1.9. TC-9

New administration resulting in soft error

Test Story

Description

A patient is seen at a clinic. A new administration is recorded. The IIS is able to process the administration message but finds a soft error (warning) which it returns in the acknowledgement message.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

The returned error must be visible in the EHR.

Test Objectives

This test case assesses the ability of the EHR to accept an acknowledgement message with a soft warning error being returned by the IIS.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

1.9.1. Send administration message

Tests the ability to create a valid VXU^V04 message

Test Story

Description

A 1 month old female, Ashley Jennifer Broadbent, is brought to the West Clinic for a well child visit by her mother Ellen Broadbent (nee Layton). A clinic staff member collects basic patient demographic information including name, date of birth and sex. A clinic provider, Wilma Thomas (physician ID 654) reviews the patient’s vaccination history and determines that the child requires a Hep B vaccination. The child is covered by insurance and does not qualify for all Vaccine For Children (VFC) supplied vaccines. The mother is given the Vaccine Information Sheet (VIS) to review. After reading it, she agrees that the child should receive the Hep B vaccine. She also agrees that the data should be shared once it is incorporated into the local IIS. An appropriate dose of Hep B is selected from the clinic’s stock of privately funded vaccines. A clinician, Lily Jackson (ID 7824) prepares and administers the doses to the patient and enters the data into the EHR and transmits it to the IIS.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	wcEHR
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	IIS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150625103328.757-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	VXU
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	VXU_V04
MSH-10	Message Control ID	81883
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER
MSH-16	Application Acknowledgment Type	AL
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z22
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	wcEHR
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	IIS
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

PID : Patient Identification

Location	Data Elemenmt	Data	Categrization
PID-1	Set ID - PID	1
PID-2	Patient ID
PID-2.1	ID Number
PID-2.2	Check Digit
PID-2.3	Check Digit Scheme
PID-2.4	Assigning Authority
PID-2.4.1	Namespace ID
PID-2.4.2	Universal ID
PID-2.4.3	Universal ID Type
PID-2.5	Identifier Type Code
PID-2.6	Assigning Facility
PID-2.6.1	Namespace ID
PID-2.6.2	Universal ID
PID-2.6.3	Universal ID Type
PID-2.7	Effective Date
PID-2.8	Expiration Date
PID-2.9	Assigning Jurisdiction
PID-2.9.1	Identifier
PID-2.9.2	Text
PID-2.9.3	Name of Coding System
PID-2.9.4	Alternate Identifier
PID-2.9.5	Alternate Text
PID-2.9.6	Name of Alternate Coding System
PID-2.9.7	Coding System Version ID
PID-2.9.8	Alternate Coding System Version ID
PID-2.9.9	Original Text
PID-2.10	Assigning Agency or Department
PID-2.10.1	Identifier
PID-2.10.2	Text
PID-2.10.3	Name of Coding System
PID-2.10.4	Alternate Identifier
PID-2.10.5	Alternate Text
PID-2.10.6	Name of Alternate Coding System
PID-2.10.7	Coding System Version ID
PID-2.10.8	Alternate Coding System Version ID
PID-2.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	77100
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	wcEHR
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	MR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-4	Alternate Patient ID - PID
PID-4.1	ID Number
PID-4.2	Check Digit
PID-4.3	Check Digit Scheme
PID-4.4	Assigning Authority
PID-4.4.1	Namespace ID
PID-4.4.2	Universal ID
PID-4.4.3	Universal ID Type
PID-4.5	Identifier Type Code
PID-4.6	Assigning Facility
PID-4.6.1	Namespace ID
PID-4.6.2	Universal ID
PID-4.6.3	Universal ID Type
PID-4.7	Effective Date
PID-4.8	Expiration Date
PID-4.9	Assigning Jurisdiction
PID-4.9.1	Identifier
PID-4.9.2	Text
PID-4.9.3	Name of Coding System
PID-4.9.4	Alternate Identifier
PID-4.9.5	Alternate Text
PID-4.9.6	Name of Alternate Coding System
PID-4.9.7	Coding System Version ID
PID-4.9.8	Alternate Coding System Version ID
PID-4.9.9	Original Text
PID-4.10	Assigning Agency or Department
PID-4.10.1	Identifier
PID-4.10.2	Text
PID-4.10.3	Name of Coding System
PID-4.10.4	Alternate Identifier
PID-4.10.5	Alternate Text
PID-4.10.6	Name of Alternate Coding System
PID-4.10.7	Coding System Version ID
PID-4.10.8	Alternate Coding System Version ID
PID-4.10.9	Original Text
PID-5	Patient Name
PID-5.1	Family Name
PID-5.1.1	Surname	Broadbent
PID-5.1.2	Own Surname Prefix
PID-5.1.3	Own Surname
PID-5.1.4	Surname Prefix From Partner/Spouse
PID-5.1.5	Surname From Partner/Spouse
PID-5.2	Given Name	Ashley
PID-5.3	Second and Further Given Names or Initials Thereof	Jennifer
PID-5.4	Suffix (e.g., JR or III)
PID-5.5	Prefix (e.g., DR)
PID-5.6	Degree (e.g., MD)
PID-5.7	Name Type Code	L
PID-5.8	Name Representation Code
PID-5.9	Name Context
PID-5.9.1	Identifier
PID-5.9.2	Text
PID-5.9.3	Name of Coding System
PID-5.9.4	Alternate Identifier
PID-5.9.5	Alternate Text
PID-5.9.6	Name of Alternate Coding System
PID-5.10	Name Validity Range
PID-5.10.1	Range Start Date/Time
PID-5.10.2	Range End Date/Time
PID-5.11	Name Assembly Order
PID-5.12	Effective Date
PID-5.12.1	Time
PID-5.12.2	Degree of Precision
PID-5.13	Expiration Date
PID-5.13.1	Time
PID-5.13.2	Degree of Precision
PID-5.14	Professional Suffix
PID-6	Mother's Maiden Name
PID-6.1	Family Name
PID-6.1.1	Surname	Layton
PID-6.1.2	Own Surname Prefix
PID-6.1.3	Own Surname
PID-6.1.4	Surname Prefix From Partner/Spouse
PID-6.1.5	Surname From Partner/Spouse
PID-6.2	Given Name
PID-6.3	Second and Further Given Names or Initials Thereof
PID-6.4	Suffix (e.g., JR or III)
PID-6.5	Prefix (e.g., DR)
PID-6.6	Degree (e.g., MD)
PID-6.7	Name Type Code	M
PID-6.8	Name Representation Code
PID-6.9	Name Context
PID-6.9.1	Identifier
PID-6.9.2	Text
PID-6.9.3	Name of Coding System
PID-6.9.4	Alternate Identifier
PID-6.9.5	Alternate Text
PID-6.9.6	Name of Alternate Coding System
PID-6.10	Name Validity Range
PID-6.10.1	Range Start Date/Time
PID-6.10.2	Range End Date/Time
PID-6.11	Name Assembly Order
PID-6.12	Effective Date
PID-6.12.1	Time
PID-6.12.2	Degree of Precision
PID-6.13	Expiration Date
PID-6.13.1	Time
PID-6.13.2	Degree of Precision
PID-6.14	Professional Suffix
PID-7	Date/Time of Birth
PID-7.1	Time	20150516
PID-7.2	Degree of Precision
PID-8	Administrative Sex	F
PID-9	Patient Alias
PID-9.1	Family Name
PID-9.1.1	Surname
PID-9.1.2	Own Surname Prefix
PID-9.1.3	Own Surname
PID-9.1.4	Surname Prefix From Partner/Spouse
PID-9.1.5	Surname From Partner/Spouse
PID-9.2	Given Name
PID-9.3	Second and Further Given Names or Initials Thereof
PID-9.4	Suffix (e.g., JR or III)
PID-9.5	Prefix (e.g., DR)
PID-9.6	Degree (e.g., MD)
PID-9.7	Name Type Code
PID-9.8	Name Representation Code
PID-9.9	Name Context
PID-9.9.1	Identifier
PID-9.9.2	Text
PID-9.9.3	Name of Coding System
PID-9.9.4	Alternate Identifier
PID-9.9.5	Alternate Text
PID-9.9.6	Name of Alternate Coding System
PID-9.10	Name Validity Range
PID-9.10.1	Range Start Date/Time
PID-9.10.2	Range End Date/Time
PID-9.11	Name Assembly Order
PID-9.12	Effective Date
PID-9.12.1	Time
PID-9.12.2	Degree of Precision
PID-9.13	Expiration Date
PID-9.13.1	Time
PID-9.13.2	Degree of Precision
PID-9.14	Professional Suffix
PID-10	Race
PID-10.1	Identifier	2054-5
PID-10.2	Text	African American
PID-10.3	Name of Coding System	CDCREC
PID-10.4	Alternate Identifier
PID-10.5	Alternate Text
PID-10.6	Name of Alternate Coding System
PID-11	Patient Address
PID-11.1	Street Address
PID-11.1.1	Street or Mailing Address	901 North 12th St
PID-11.1.2	Street Name
PID-11.1.3	Dwelling Number
PID-11.2	Other Designation
PID-11.3	City	Bozeman
PID-11.4	State or Province	MT
PID-11.5	Zip or Postal Code	59715
PID-11.6	Country	USA
PID-11.7	Address Type	P
PID-11.8	Other Geographic Designation
PID-11.9	County/Parish Code
PID-11.10	Census Tract
PID-11.11	Address Representation Code
PID-11.12	Address Validity Range
PID-11.12.1	Range Start Date/Time
PID-11.12.2	Range End Date/Time
PID-11.13	Effective Date
PID-11.13.1	Time
PID-11.13.2	Degree of Precision
PID-11.14	Expiration Date
PID-11.14.1	Time
PID-11.14.2	Degree of Precision
PID-12	County Code
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	PRN
PID-13.3	Telecommunication Equipment Type	PH
PID-13.4	Email Address
PID-13.5	Country Code
PID-13.6	Area/City Code	406
PID-13.7	Local Number	5552262
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-14	Phone Number - Business
PID-14.1	Telephone Number
PID-14.2	Telecommunication Use Code
PID-14.3	Telecommunication Equipment Type
PID-14.4	Email Address
PID-14.5	Country Code
PID-14.6	Area/City Code
PID-14.7	Local Number
PID-14.8	Extension
PID-14.9	Any Text
PID-14.10	Extension Prefix
PID-14.11	Speed Dial Code
PID-14.12	Unformatted Telephone number
PID-15	Primary Language
PID-15.1	Identifier
PID-15.2	Text
PID-15.3	Name of Coding System
PID-15.4	Alternate Identifier
PID-15.5	Alternate Text
PID-15.6	Name of Alternate Coding System
PID-16	Marital Status
PID-16.1	Identifier
PID-16.2	Text
PID-16.3	Name of Coding System
PID-16.4	Alternate Identifier
PID-16.5	Alternate Text
PID-16.6	Name of Alternate Coding System
PID-17	Religion
PID-17.1	Identifier
PID-17.2	Text
PID-17.3	Name of Coding System
PID-17.4	Alternate Identifier
PID-17.5	Alternate Text
PID-17.6	Name of Alternate Coding System
PID-18	Patient Account Number
PID-18.1	ID Number
PID-18.2	Check Digit
PID-18.3	Check Digit Scheme
PID-18.4	Assigning Authority
PID-18.4.1	Namespace ID
PID-18.4.2	Universal ID
PID-18.4.3	Universal ID Type
PID-18.5	Identifier Type Code
PID-18.6	Assigning Facility
PID-18.6.1	Namespace ID
PID-18.6.2	Universal ID
PID-18.6.3	Universal ID Type
PID-18.7	Effective Date
PID-18.8	Expiration Date
PID-18.9	Assigning Jurisdiction
PID-18.9.1	Identifier
PID-18.9.2	Text
PID-18.9.3	Name of Coding System
PID-18.9.4	Alternate Identifier
PID-18.9.5	Alternate Text
PID-18.9.6	Name of Alternate Coding System
PID-18.9.7	Coding System Version ID
PID-18.9.8	Alternate Coding System Version ID
PID-18.9.9	Original Text
PID-18.10	Assigning Agency or Department
PID-18.10.1	Identifier
PID-18.10.2	Text
PID-18.10.3	Name of Coding System
PID-18.10.4	Alternate Identifier
PID-18.10.5	Alternate Text
PID-18.10.6	Name of Alternate Coding System
PID-18.10.7	Coding System Version ID
PID-18.10.8	Alternate Coding System Version ID
PID-18.10.9	Original Text
PID-19	SSN Number - Patient
PID-20	Driver's License Number - Patient
PID-20.1	License Number
PID-20.2	Issuing State, Province, Country
PID-20.3	Expiration Date
PID-21	Mother's Identifier
PID-21.1	ID Number
PID-21.2	Check Digit
PID-21.3	Check Digit Scheme
PID-21.4	Assigning Authority
PID-21.4.1	Namespace ID
PID-21.4.2	Universal ID
PID-21.4.3	Universal ID Type
PID-21.5	Identifier Type Code
PID-21.6	Assigning Facility
PID-21.6.1	Namespace ID
PID-21.6.2	Universal ID
PID-21.6.3	Universal ID Type
PID-21.7	Effective Date
PID-21.8	Expiration Date
PID-21.9	Assigning Jurisdiction
PID-21.9.1	Identifier
PID-21.9.2	Text
PID-21.9.3	Name of Coding System
PID-21.9.4	Alternate Identifier
PID-21.9.5	Alternate Text
PID-21.9.6	Name of Alternate Coding System
PID-21.9.7	Coding System Version ID
PID-21.9.8	Alternate Coding System Version ID
PID-21.9.9	Original Text
PID-21.10	Assigning Agency or Department
PID-21.10.1	Identifier
PID-21.10.2	Text
PID-21.10.3	Name of Coding System
PID-21.10.4	Alternate Identifier
PID-21.10.5	Alternate Text
PID-21.10.6	Name of Alternate Coding System
PID-21.10.7	Coding System Version ID
PID-21.10.8	Alternate Coding System Version ID
PID-21.10.9	Original Text
PID-22	Ethnic Group
PID-22.1	Identifier	2186-5
PID-22.2	Text	Not Hispanic or Latino
PID-22.3	Name of Coding System	CDCREC
PID-22.4	Alternate Identifier
PID-22.5	Alternate Text
PID-22.6	Name of Alternate Coding System
PID-23	Birth Place
PID-24	Multiple Birth Indicator	N
PID-25	Birth Order	1
PID-26	Citizenship
PID-26.1	Identifier
PID-26.2	Text
PID-26.3	Name of Coding System
PID-26.4	Alternate Identifier
PID-26.5	Alternate Text
PID-26.6	Name of Alternate Coding System
PID-27	Veterans Military Status
PID-27.1	Identifier
PID-27.2	Text
PID-27.3	Name of Coding System
PID-27.4	Alternate Identifier
PID-27.5	Alternate Text
PID-27.6	Name of Alternate Coding System
PID-28	Nationality
PID-28.1	Identifier
PID-28.2	Text
PID-28.3	Name of Coding System
PID-28.4	Alternate Identifier
PID-28.5	Alternate Text
PID-28.6	Name of Alternate Coding System
PID-29	Patient Death Date and Time
PID-29.1	Time
PID-29.2	Degree of Precision
PID-30	Patient Death Indicator	N
PID-31	Identity Unknown Indicator
PID-32	Identity Reliability Code
PID-33	Last Update Date/Time
PID-33.1	Time
PID-33.2	Degree of Precision
PID-34	Last Update Facility
PID-34.1	Namespace ID
PID-34.2	Universal ID
PID-34.3	Universal ID Type
PID-35	Species Code
PID-35.1	Identifier
PID-35.2	Text
PID-35.3	Name of Coding System
PID-35.4	Alternate Identifier
PID-35.5	Alternate Text
PID-35.6	Name of Alternate Coding System
PID-36	Breed Code
PID-36.1	Identifier
PID-36.2	Text
PID-36.3	Name of Coding System
PID-36.4	Alternate Identifier
PID-36.5	Alternate Text
PID-36.6	Name of Alternate Coding System
PID-37	Strain
PID-38	Production Class Code
PID-38.1	Identifier
PID-38.2	Text
PID-38.3	Name of Coding System
PID-38.4	Alternate Identifier
PID-38.5	Alternate Text
PID-38.6	Name of Alternate Coding System
PID-39	Tribal Citizenship
PID-39.1	Identifier
PID-39.2	Text
PID-39.3	Name of Coding System
PID-39.4	Alternate Identifier
PID-39.5	Alternate Text
PID-39.6	Name of Alternate Coding System
PID-39.7	Coding System Version ID
PID-39.8	Alternate Coding System Version ID
PID-39.9	Original Text

PD1 : Patient Additional Demographic

Location	Data Elemenmt	Data	Categrization
PD1-1	Living Dependency
PD1-2	Living Arrangement
PD1-3	Patient Primary Facility
PD1-3.1	Organization Name
PD1-3.2	Organization Name Type Code
PD1-3.3	ID Number
PD1-3.4	Check Digit
PD1-3.5	Check Digit Scheme
PD1-3.6	Assigning Authority
PD1-3.6.1	Namespace ID
PD1-3.6.2	Universal ID
PD1-3.6.3	Universal ID Type
PD1-3.7	Identifier Type Code
PD1-3.8	Assigning Facility
PD1-3.8.1	Namespace ID
PD1-3.8.2	Universal ID
PD1-3.8.3	Universal ID Type
PD1-3.9	Name Representation Code
PD1-3.10	Organization Identifier
PD1-4	Patient Primary Care Provider Name & ID No.
PD1-4.1	ID Number
PD1-4.2	Family Name
PD1-4.2.1	Surname
PD1-4.2.2	Own Surname Prefix
PD1-4.2.3	Own Surname
PD1-4.2.4	Surname Prefix From Partner/Spouse
PD1-4.2.5	Surname From Partner/Spouse
PD1-4.3	Given Name
PD1-4.4	Second and Further Given Names or Initials Thereof
PD1-4.5	Suffix (e.g., JR or III)
PD1-4.6	Prefix (e.g., DR)
PD1-4.7	Degree (e.g., MD)
PD1-4.8	Source Table
PD1-4.9	Assigning Authority
PD1-4.9.1	Namespace ID
PD1-4.9.2	Universal ID
PD1-4.9.3	Universal ID Type
PD1-4.10	Name Type Code
PD1-4.11	Identifier Check Digit
PD1-4.12	Check Digit Scheme
PD1-4.13	Identifier Type Code
PD1-4.14	Assigning Facility
PD1-4.14.1	Namespace ID
PD1-4.14.2	Universal ID
PD1-4.14.3	Universal ID Type
PD1-4.15	Name Representation Code
PD1-4.16	Name Context
PD1-4.16.1	Identifier
PD1-4.16.2	Text
PD1-4.16.3	Name of Coding System
PD1-4.16.4	Alternate Identifier
PD1-4.16.5	Alternate Text
PD1-4.16.6	Name of Alternate Coding System
PD1-4.17	Name Validity Range
PD1-4.17.1	Range Start Date/Time
PD1-4.17.2	Range End Date/Time
PD1-4.18	Name Assembly Order
PD1-4.19	Effective Date
PD1-4.19.1	Time
PD1-4.19.2	Degree of Precision
PD1-4.20	Expiration Date
PD1-4.20.1	Time
PD1-4.20.2	Degree of Precision
PD1-4.21	Professional Suffix
PD1-4.22	Assigning Jurisdiction
PD1-4.22.1	Identifier
PD1-4.22.2	Text
PD1-4.22.3	Name of Coding System
PD1-4.22.4	Alternate Identifier
PD1-4.22.5	Alternate Text
PD1-4.22.6	Name of Alternate Coding System
PD1-4.22.7	Coding System Version ID
PD1-4.22.8	Alternate Coding System Version ID
PD1-4.22.9	Original Text
PD1-4.23	Assigning Agency or Department
PD1-4.23.1	Identifier
PD1-4.23.2	Text
PD1-4.23.3	Name of Coding System
PD1-4.23.4	Alternate Identifier
PD1-4.23.5	Alternate Text
PD1-4.23.6	Name of Alternate Coding System
PD1-4.23.7	Coding System Version ID
PD1-4.23.8	Alternate Coding System Version ID
PD1-4.23.9	Original Text
PD1-5	Student Indicator
PD1-6	Handicap
PD1-7	Living Will Code
PD1-8	Organ Donor Code
PD1-9	Separate Bill
PD1-10	Duplicate Patient
PD1-10.1	ID Number
PD1-10.2	Check Digit
PD1-10.3	Check Digit Scheme
PD1-10.4	Assigning Authority
PD1-10.4.1	Namespace ID
PD1-10.4.2	Universal ID
PD1-10.4.3	Universal ID Type
PD1-10.5	Identifier Type Code
PD1-10.6	Assigning Facility
PD1-10.6.1	Namespace ID
PD1-10.6.2	Universal ID
PD1-10.6.3	Universal ID Type
PD1-10.7	Effective Date
PD1-10.8	Expiration Date
PD1-10.9	Assigning Jurisdiction
PD1-10.9.1	Identifier
PD1-10.9.2	Text
PD1-10.9.3	Name of Coding System
PD1-10.9.4	Alternate Identifier
PD1-10.9.5	Alternate Text
PD1-10.9.6	Name of Alternate Coding System
PD1-10.9.7	Coding System Version ID
PD1-10.9.8	Alternate Coding System Version ID
PD1-10.9.9	Original Text
PD1-10.10	Assigning Agency or Department
PD1-10.10.1	Identifier
PD1-10.10.2	Text
PD1-10.10.3	Name of Coding System
PD1-10.10.4	Alternate Identifier
PD1-10.10.5	Alternate Text
PD1-10.10.6	Name of Alternate Coding System
PD1-10.10.7	Coding System Version ID
PD1-10.10.8	Alternate Coding System Version ID
PD1-10.10.9	Original Text
PD1-11	Publicity Code
PD1-11.1	Identifier	03
PD1-11.2	Text	Reminder/recall - no calls
PD1-11.3	Name of Coding System	HL70215
PD1-11.4	Alternate Identifier
PD1-11.5	Alternate Text
PD1-11.6	Name of Alternate Coding System
PD1-12	Protection Indicator	N
PD1-13	Protection Indicator Effective Date	20150625
PD1-14	Place of Worship
PD1-14.1	Organization Name
PD1-14.2	Organization Name Type Code
PD1-14.3	ID Number
PD1-14.4	Check Digit
PD1-14.5	Check Digit Scheme
PD1-14.6	Assigning Authority
PD1-14.6.1	Namespace ID
PD1-14.6.2	Universal ID
PD1-14.6.3	Universal ID Type
PD1-14.7	Identifier Type Code
PD1-14.8	Assigning Facility
PD1-14.8.1	Namespace ID
PD1-14.8.2	Universal ID
PD1-14.8.3	Universal ID Type
PD1-14.9	Name Representation Code
PD1-14.10	Organization Identifier
PD1-15	Advance Directive Code
PD1-15.1	Identifier
PD1-15.2	Text
PD1-15.3	Name of Coding System
PD1-15.4	Alternate Identifier
PD1-15.5	Alternate Text
PD1-15.6	Name of Alternate Coding System
PD1-16	Immunization Registry Status	A
PD1-17	Immunization Registry Status Effective Date	20150516
PD1-18	Publicity Code Effective Date	20150625
PD1-19	Military Branch
PD1-20	Military Rank/Grade
PD1-21	Military Status

NK1 : Next of Kin / Associated Parties

Location	Data Elemenmt	Data	Categrization
NK1-1	Set ID - NK1	1
NK1-2	Name
NK1-2.1	Family Name
NK1-2.1.1	Surname	Broadbent
NK1-2.1.2	Own Surname Prefix
NK1-2.1.3	Own Surname
NK1-2.1.4	Surname Prefix From Partner/Spouse
NK1-2.1.5	Surname From Partner/Spouse
NK1-2.2	Given Name	Ellen
NK1-2.3	Second and Further Given Names or Initials Thereof
NK1-2.4	Suffix (e.g., JR or III)
NK1-2.5	Prefix (e.g., DR)
NK1-2.6	Degree (e.g., MD)
NK1-2.7	Name Type Code	L
NK1-2.8	Name Representation Code
NK1-2.9	Name Context
NK1-2.9.1	Identifier
NK1-2.9.2	Text
NK1-2.9.3	Name of Coding System
NK1-2.9.4	Alternate Identifier
NK1-2.9.5	Alternate Text
NK1-2.9.6	Name of Alternate Coding System
NK1-2.10	Name Validity Range
NK1-2.10.1	Range Start Date/Time
NK1-2.10.2	Range End Date/Time
NK1-2.11	Name Assembly Order
NK1-2.12	Effective Date
NK1-2.12.1	Time
NK1-2.12.2	Degree of Precision
NK1-2.13	Expiration Date
NK1-2.13.1	Time
NK1-2.13.2	Degree of Precision
NK1-2.14	Professional Suffix
NK1-3	Relationship
NK1-3.1	Identifier	MTH
NK1-3.2	Text	Mother
NK1-3.3	Name of Coding System	HL70063
NK1-3.4	Alternate Identifier
NK1-3.5	Alternate Text
NK1-3.6	Name of Alternate Coding System
NK1-4	Address
NK1-4.1	Street Address
NK1-4.1.1	Street or Mailing Address	901 North 12th St
NK1-4.1.2	Street Name
NK1-4.1.3	Dwelling Number
NK1-4.2	Other Designation
NK1-4.3	City	Bozeman
NK1-4.4	State or Province	MT
NK1-4.5	Zip or Postal Code	59715
NK1-4.6	Country	USA
NK1-4.7	Address Type	P
NK1-4.8	Other Geographic Designation
NK1-4.9	County/Parish Code
NK1-4.10	Census Tract
NK1-4.11	Address Representation Code
NK1-4.12	Address Validity Range
NK1-4.12.1	Range Start Date/Time
NK1-4.12.2	Range End Date/Time
NK1-4.13	Effective Date
NK1-4.13.1	Time
NK1-4.13.2	Degree of Precision
NK1-4.14	Expiration Date
NK1-4.14.1	Time
NK1-4.14.2	Degree of Precision
NK1-5	Phone Number
NK1-5.1	Telephone Number
NK1-5.2	Telecommunication Use Code	PRN
NK1-5.3	Telecommunication Equipment Type	PH
NK1-5.4	Email Address
NK1-5.5	Country Code
NK1-5.6	Area/City Code	406
NK1-5.7	Local Number	5552262
NK1-5.8	Extension
NK1-5.9	Any Text
NK1-5.10	Extension Prefix
NK1-5.11	Speed Dial Code
NK1-5.12	Unformatted Telephone number
NK1-6	Business Phone Number
NK1-6.1	Telephone Number
NK1-6.2	Telecommunication Use Code
NK1-6.3	Telecommunication Equipment Type
NK1-6.4	Email Address
NK1-6.5	Country Code
NK1-6.6	Area/City Code
NK1-6.7	Local Number
NK1-6.8	Extension
NK1-6.9	Any Text
NK1-6.10	Extension Prefix
NK1-6.11	Speed Dial Code
NK1-6.12	Unformatted Telephone number
NK1-7	Contact Role
NK1-7.1	Identifier
NK1-7.2	Text
NK1-7.3	Name of Coding System
NK1-7.4	Alternate Identifier
NK1-7.5	Alternate Text
NK1-7.6	Name of Alternate Coding System
NK1-8	Start Date
NK1-9	End Date
NK1-10	Next of Kin / Associated Parties Job Title
NK1-11	Next of Kin / Associated Parties Job Code/Class
NK1-11.1	Job Code
NK1-11.2	Job Class
NK1-11.3	Job Description Text
NK1-12	Next of Kin / Associated Parties Employee Number
NK1-12.1	ID Number
NK1-12.2	Check Digit
NK1-12.3	Check Digit Scheme
NK1-12.4	Assigning Authority
NK1-12.4.1	Namespace ID
NK1-12.4.2	Universal ID
NK1-12.4.3	Universal ID Type
NK1-12.5	Identifier Type Code
NK1-12.6	Assigning Facility
NK1-12.6.1	Namespace ID
NK1-12.6.2	Universal ID
NK1-12.6.3	Universal ID Type
NK1-12.7	Effective Date
NK1-12.8	Expiration Date
NK1-12.9	Assigning Jurisdiction
NK1-12.9.1	Identifier
NK1-12.9.2	Text
NK1-12.9.3	Name of Coding System
NK1-12.9.4	Alternate Identifier
NK1-12.9.5	Alternate Text
NK1-12.9.6	Name of Alternate Coding System
NK1-12.9.7	Coding System Version ID
NK1-12.9.8	Alternate Coding System Version ID
NK1-12.9.9	Original Text
NK1-12.10	Assigning Agency or Department
NK1-12.10.1	Identifier
NK1-12.10.2	Text
NK1-12.10.3	Name of Coding System
NK1-12.10.4	Alternate Identifier
NK1-12.10.5	Alternate Text
NK1-12.10.6	Name of Alternate Coding System
NK1-12.10.7	Coding System Version ID
NK1-12.10.8	Alternate Coding System Version ID
NK1-12.10.9	Original Text
NK1-13	Organization Name - NK1
NK1-13.1	Organization Name
NK1-13.2	Organization Name Type Code
NK1-13.3	ID Number
NK1-13.4	Check Digit
NK1-13.5	Check Digit Scheme
NK1-13.6	Assigning Authority
NK1-13.6.1	Namespace ID
NK1-13.6.2	Universal ID
NK1-13.6.3	Universal ID Type
NK1-13.7	Identifier Type Code
NK1-13.8	Assigning Facility
NK1-13.8.1	Namespace ID
NK1-13.8.2	Universal ID
NK1-13.8.3	Universal ID Type
NK1-13.9	Name Representation Code
NK1-13.10	Organization Identifier
NK1-14	Marital Status
NK1-14.1	Identifier
NK1-14.2	Text
NK1-14.3	Name of Coding System
NK1-14.4	Alternate Identifier
NK1-14.5	Alternate Text
NK1-14.6	Name of Alternate Coding System
NK1-15	Administrative Sex
NK1-16	Date/Time of Birth
NK1-16.1	Time
NK1-16.2	Degree of Precision
NK1-17	Living Dependency
NK1-18	Ambulatory Status
NK1-19	Citizenship
NK1-19.1	Identifier
NK1-19.2	Text
NK1-19.3	Name of Coding System
NK1-19.4	Alternate Identifier
NK1-19.5	Alternate Text
NK1-19.6	Name of Alternate Coding System
NK1-20	Primary Language
NK1-20.1	Identifier
NK1-20.2	Text
NK1-20.3	Name of Coding System
NK1-20.4	Alternate Identifier
NK1-20.5	Alternate Text
NK1-20.6	Name of Alternate Coding System
NK1-21	Living Arrangement
NK1-22	Publicity Code
NK1-22.1	Identifier
NK1-22.2	Text
NK1-22.3	Name of Coding System
NK1-22.4	Alternate Identifier
NK1-22.5	Alternate Text
NK1-22.6	Name of Alternate Coding System
NK1-23	Protection Indicator
NK1-24	Student Indicator
NK1-25	Religion
NK1-25.1	Identifier
NK1-25.2	Text
NK1-25.3	Name of Coding System
NK1-25.4	Alternate Identifier
NK1-25.5	Alternate Text
NK1-25.6	Name of Alternate Coding System
NK1-26	Mother's Maiden Name
NK1-26.1	Family Name
NK1-26.1.1	Surname
NK1-26.1.2	Own Surname Prefix
NK1-26.1.3	Own Surname
NK1-26.1.4	Surname Prefix From Partner/Spouse
NK1-26.1.5	Surname From Partner/Spouse
NK1-26.2	Given Name
NK1-26.3	Second and Further Given Names or Initials Thereof
NK1-26.4	Suffix (e.g., JR or III)
NK1-26.5	Prefix (e.g., DR)
NK1-26.6	Degree (e.g., MD)
NK1-26.7	Name Type Code
NK1-26.8	Name Representation Code
NK1-26.9	Name Context
NK1-26.9.1	Identifier
NK1-26.9.2	Text
NK1-26.9.3	Name of Coding System
NK1-26.9.4	Alternate Identifier
NK1-26.9.5	Alternate Text
NK1-26.9.6	Name of Alternate Coding System
NK1-26.10	Name Validity Range
NK1-26.10.1	Range Start Date/Time
NK1-26.10.2	Range End Date/Time
NK1-26.11	Name Assembly Order
NK1-26.12	Effective Date
NK1-26.12.1	Time
NK1-26.12.2	Degree of Precision
NK1-26.13	Expiration Date
NK1-26.13.1	Time
NK1-26.13.2	Degree of Precision
NK1-26.14	Professional Suffix
NK1-27	Nationality
NK1-27.1	Identifier
NK1-27.2	Text
NK1-27.3	Name of Coding System
NK1-27.4	Alternate Identifier
NK1-27.5	Alternate Text
NK1-27.6	Name of Alternate Coding System
NK1-28	Ethnic Group
NK1-28.1	Identifier
NK1-28.2	Text
NK1-28.3	Name of Coding System
NK1-28.4	Alternate Identifier
NK1-28.5	Alternate Text
NK1-28.6	Name of Alternate Coding System
NK1-29	Contact Reason
NK1-29.1	Identifier
NK1-29.2	Text
NK1-29.3	Name of Coding System
NK1-29.4	Alternate Identifier
NK1-29.5	Alternate Text
NK1-29.6	Name of Alternate Coding System
NK1-30	Contact Person's Name
NK1-30.1	Family Name
NK1-30.1.1	Surname
NK1-30.1.2	Own Surname Prefix
NK1-30.1.3	Own Surname
NK1-30.1.4	Surname Prefix From Partner/Spouse
NK1-30.1.5	Surname From Partner/Spouse
NK1-30.2	Given Name
NK1-30.3	Second and Further Given Names or Initials Thereof
NK1-30.4	Suffix (e.g., JR or III)
NK1-30.5	Prefix (e.g., DR)
NK1-30.6	Degree (e.g., MD)
NK1-30.7	Name Type Code
NK1-30.8	Name Representation Code
NK1-30.9	Name Context
NK1-30.9.1	Identifier
NK1-30.9.2	Text
NK1-30.9.3	Name of Coding System
NK1-30.9.4	Alternate Identifier
NK1-30.9.5	Alternate Text
NK1-30.9.6	Name of Alternate Coding System
NK1-30.10	Name Validity Range
NK1-30.10.1	Range Start Date/Time
NK1-30.10.2	Range End Date/Time
NK1-30.11	Name Assembly Order
NK1-30.12	Effective Date
NK1-30.12.1	Time
NK1-30.12.2	Degree of Precision
NK1-30.13	Expiration Date
NK1-30.13.1	Time
NK1-30.13.2	Degree of Precision
NK1-30.14	Professional Suffix
NK1-31	Contact Person's Telephone Number
NK1-31.1	Telephone Number
NK1-31.2	Telecommunication Use Code
NK1-31.3	Telecommunication Equipment Type
NK1-31.4	Email Address
NK1-31.5	Country Code
NK1-31.6	Area/City Code
NK1-31.7	Local Number
NK1-31.8	Extension
NK1-31.9	Any Text
NK1-31.10	Extension Prefix
NK1-31.11	Speed Dial Code
NK1-31.12	Unformatted Telephone number
NK1-32	Contact Person's Address
NK1-32.1	Street Address
NK1-32.1.1	Street or Mailing Address
NK1-32.1.2	Street Name
NK1-32.1.3	Dwelling Number
NK1-32.2	Other Designation
NK1-32.3	City
NK1-32.4	State or Province
NK1-32.5	Zip or Postal Code
NK1-32.6	Country
NK1-32.7	Address Type
NK1-32.8	Other Geographic Designation
NK1-32.9	County/Parish Code
NK1-32.10	Census Tract
NK1-32.11	Address Representation Code
NK1-32.12	Address Validity Range
NK1-32.12.1	Range Start Date/Time
NK1-32.12.2	Range End Date/Time
NK1-32.13	Effective Date
NK1-32.13.1	Time
NK1-32.13.2	Degree of Precision
NK1-32.14	Expiration Date
NK1-32.14.1	Time
NK1-32.14.2	Degree of Precision
NK1-33	Next of Kin/Associated Party's Identifiers
NK1-33.1	ID Number
NK1-33.2	Check Digit
NK1-33.3	Check Digit Scheme
NK1-33.4	Assigning Authority
NK1-33.4.1	Namespace ID
NK1-33.4.2	Universal ID
NK1-33.4.3	Universal ID Type
NK1-33.5	Identifier Type Code
NK1-33.6	Assigning Facility
NK1-33.6.1	Namespace ID
NK1-33.6.2	Universal ID
NK1-33.6.3	Universal ID Type
NK1-33.7	Effective Date
NK1-33.8	Expiration Date
NK1-33.9	Assigning Jurisdiction
NK1-33.9.1	Identifier
NK1-33.9.2	Text
NK1-33.9.3	Name of Coding System
NK1-33.9.4	Alternate Identifier
NK1-33.9.5	Alternate Text
NK1-33.9.6	Name of Alternate Coding System
NK1-33.9.7	Coding System Version ID
NK1-33.9.8	Alternate Coding System Version ID
NK1-33.9.9	Original Text
NK1-33.10	Assigning Agency or Department
NK1-33.10.1	Identifier
NK1-33.10.2	Text
NK1-33.10.3	Name of Coding System
NK1-33.10.4	Alternate Identifier
NK1-33.10.5	Alternate Text
NK1-33.10.6	Name of Alternate Coding System
NK1-33.10.7	Coding System Version ID
NK1-33.10.8	Alternate Coding System Version ID
NK1-33.10.9	Original Text
NK1-34	Job Status
NK1-35	Race
NK1-35.1	Identifier
NK1-35.2	Text
NK1-35.3	Name of Coding System
NK1-35.4	Alternate Identifier
NK1-35.5	Alternate Text
NK1-35.6	Name of Alternate Coding System
NK1-36	Handicap
NK1-37	Contact Person Social Security Number
NK1-38	Next of Kin Birth Place
NK1-39	VIP Indicator

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	3881
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	13926
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150625
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	08
RXA-5.2	Text	Hep B, adolescent or pediatric
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	797397
RXA-16	Substance Expiration Date
RXA-16.1	Time	20151203
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	SKB
RXA-17.2	Text	GlaxoSmithKline
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	Intramuscular
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier	LT
RXR-2.2	Text	Left Thigh
RXR-2.3	Name of Coding System	HL70163
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	PHC70
OBX-5.2	Text	Private
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V01
OBX-5.2	Text	Not VFC Eligible
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300005911120202
OBX-5.2	Text	Hepatitis B VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150625
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

Test Data Specification

Patient Information

Element	Data
Patient Name	Ashley Jennifer Broadbent
Mother's Maiden Name	Layton
ID Number	77100
Date/Time of Birth	05/16/2015
Administrative Sex	Female
Patient Address	901 North 12th St Bozeman MT 59715 USA
Local Number	(406)555-2262
Race	African American
Ethnic Group	Not Hispanic or Latino
Birth Order	1

Immunization Registry Information

Element	Data
Immunization Registry Status	A
Immunization Registry Status Effective Date	05/16/2015
Publicity Code	Reminder/recall - no calls
Publicity Code Effective Date	06/25/2015
Protection Indicator	No
Protection Indicator Effective Date	06/25/2015

Guardian or Responsible Party

Element	Data
Name	Ellen Broadbent
Relationship	Mother
Address	901 North 12th St Bozeman MT 59715 USA
Phone Number	(406)555-2262

Vaccine Administration Information

Element	Data
Administered Code	Hep B, adolescent or pediatric
Date/Time Start of Administration	06/25/2015
Administered Amount	0.5
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	797397
Substance Expiration Date	12/03/2015
Substance Manufacturer Name	GlaxoSmithKline
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route	Intramuscular
Administration Site	Left Thigh
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Private
Vaccine Funding Program Eligibility	Not VFC Eligible
Document Type	Hepatitis B VIS
Date Vis Presented

1.9.2. Consume acknowledgement message

Tests the ability to consume an ACK message containing a warning

Test Story

Description

A mapping error in the IIS software results in the IIS being unable to recognize the administration site sent in RXR-2 even though it is valid. The acknowledgement message returned contains a warning for an invalid value.

Comments

No Comments

PreCondition

A VXU message is generated by the EHR.

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

The error returned in the acknowledgement message is visible in the system responsible for the content of the administration message.

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	IIS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	wcEHR
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150625103328.758-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	ACK
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	ACK
MSH-10	Message Control ID	23842
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z23
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	IIS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	wcEHR
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AE
MSA-2	Message Control ID	81883
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

ERR : Error

Location	Data Elemenmt	Data	Categrization
ERR-1	Error Code and Location
ERR-1.1	Segment ID
ERR-1.2	Segment Sequence
ERR-1.3	Field Position
ERR-1.4	Code Identifying Error
ERR-1.4.1	Identifier
ERR-1.4.2	Text
ERR-1.4.3	Name of Coding System
ERR-1.4.4	Alternate Identifier
ERR-1.4.5	Alternate Text
ERR-1.4.6	Name of Alternate Coding System
ERR-2	Error Location
ERR-2.1	Segment ID	RXR
ERR-2.2	Segment Sequence	2
ERR-2.3	Field Position	1
ERR-2.4	Field Repetition	1
ERR-2.5	Component Number
ERR-2.6	Sub-Component Number
ERR-3	HL7 Error Code
ERR-3.1	Identifier	999
ERR-3.2	Text	Application error
ERR-3.3	Name of Coding System	HL70357
ERR-3.4	Alternate Identifier
ERR-3.5	Alternate Text
ERR-3.6	Name of Alternate Coding System
ERR-3.7	Coding System Version ID
ERR-3.8	Alternate Coding System Version ID
ERR-3.9	Original Text
ERR-4	Severity	W
ERR-5	Application Error Code
ERR-5.1	Identifier	5
ERR-5.2	Text	Table value not found
ERR-5.3	Name of Coding System	HL70533
ERR-5.4	Alternate Identifier
ERR-5.5	Alternate Text
ERR-5.6	Name of Alternate Coding System
ERR-5.7	Coding System Version ID
ERR-5.8	Alternate Coding System Version ID
ERR-5.9	Original Text
ERR-6	Application Error Parameter
ERR-7	Diagnostic Information
ERR-8	User Message	Administration Site not recognized - site data will not be saved
ERR-9	Inform Person Indicator
ERR-10	Override Type
ERR-10.1	Identifier
ERR-10.2	Text
ERR-10.3	Name of Coding System
ERR-10.4	Alternate Identifier
ERR-10.5	Alternate Text
ERR-10.6	Name of Alternate Coding System
ERR-10.7	Coding System Version ID
ERR-10.8	Alternate Coding System Version ID
ERR-10.9	Original Text
ERR-11	Override Reason Code
ERR-11.1	Identifier
ERR-11.2	Text
ERR-11.3	Name of Coding System
ERR-11.4	Alternate Identifier
ERR-11.5	Alternate Text
ERR-11.6	Name of Alternate Coding System
ERR-11.7	Coding System Version ID
ERR-11.8	Alternate Coding System Version ID
ERR-11.9	Original Text
ERR-12	Help Desk Contact Point
ERR-12.1	Telephone Number
ERR-12.2	Telecommunication Use Code
ERR-12.3	Telecommunication Equipment Type
ERR-12.4	Email Address
ERR-12.5	Country Code
ERR-12.6	Area/City Code
ERR-12.7	Local Number
ERR-12.8	Extension
ERR-12.9	Any Text
ERR-12.10	Extension Prefix
ERR-12.11	Speed Dial Code
ERR-12.12	Unformatted Telephone number

1.10. TC-10

New administration resulting in multiple soft errors

Test Story

Description

A patient is seen at a clinic. A new administration is recorded. The IIS is able to process the administration message but finds multiple soft errors (warnings) which it returns in the acknowledgement message.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

The returned error must be visible in the EHR.

Test Objectives

This test case assesses the ability of the EHR to accept an acknowledgement message with multiple soft errors being returned by the IIS.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

1.10.1. Send administration message

Tests the ability to create a valid VXU^V04 message

Test Story

Description

A 4 year old female, Lacy Wells, is brought to the West Clinic for a well child visit by her guardian Janelle Trudeau. A clinic staff member collects basic patient demographic information including name, date of birth and sex. A clinic provider, Wilma Thomas (physician ID 654) reviews the patient’s vaccination history and determines that the child requires DTaP, polio, MMR and varicella vaccinations. The child is covered by insurance and does not qualify for all Vaccine For Children (VFC) supplied vaccines. The guardian is given the appropriate Vaccine Information Sheet (VIS) to review. After reading it, she agrees that the child should receive all the vaccines. She also agrees that the data should be shared once it is incorporated into the local IIS. Appropriate doses of KINRIX (DTap-IPV) and PROQUAD (MMRV) are selected from the clinic’s stock of privately funded vaccines. A clinician, Lily Jackson (ID 7824) prepares and administers the doses to the patient and enters the data into the EHR and transmits it to the IIS.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	wcEHR
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	IIS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150625115038.030-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	VXU
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	VXU_V04
MSH-10	Message Control ID	10746
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER
MSH-16	Application Acknowledgment Type	AL
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z22
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	wcEHR
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	IIS
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

PID : Patient Identification

Location	Data Elemenmt	Data	Categrization
PID-1	Set ID - PID	1
PID-2	Patient ID
PID-2.1	ID Number
PID-2.2	Check Digit
PID-2.3	Check Digit Scheme
PID-2.4	Assigning Authority
PID-2.4.1	Namespace ID
PID-2.4.2	Universal ID
PID-2.4.3	Universal ID Type
PID-2.5	Identifier Type Code
PID-2.6	Assigning Facility
PID-2.6.1	Namespace ID
PID-2.6.2	Universal ID
PID-2.6.3	Universal ID Type
PID-2.7	Effective Date
PID-2.8	Expiration Date
PID-2.9	Assigning Jurisdiction
PID-2.9.1	Identifier
PID-2.9.2	Text
PID-2.9.3	Name of Coding System
PID-2.9.4	Alternate Identifier
PID-2.9.5	Alternate Text
PID-2.9.6	Name of Alternate Coding System
PID-2.9.7	Coding System Version ID
PID-2.9.8	Alternate Coding System Version ID
PID-2.9.9	Original Text
PID-2.10	Assigning Agency or Department
PID-2.10.1	Identifier
PID-2.10.2	Text
PID-2.10.3	Name of Coding System
PID-2.10.4	Alternate Identifier
PID-2.10.5	Alternate Text
PID-2.10.6	Name of Alternate Coding System
PID-2.10.7	Coding System Version ID
PID-2.10.8	Alternate Coding System Version ID
PID-2.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	22533
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	wcEHR
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	MR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-4	Alternate Patient ID - PID
PID-4.1	ID Number
PID-4.2	Check Digit
PID-4.3	Check Digit Scheme
PID-4.4	Assigning Authority
PID-4.4.1	Namespace ID
PID-4.4.2	Universal ID
PID-4.4.3	Universal ID Type
PID-4.5	Identifier Type Code
PID-4.6	Assigning Facility
PID-4.6.1	Namespace ID
PID-4.6.2	Universal ID
PID-4.6.3	Universal ID Type
PID-4.7	Effective Date
PID-4.8	Expiration Date
PID-4.9	Assigning Jurisdiction
PID-4.9.1	Identifier
PID-4.9.2	Text
PID-4.9.3	Name of Coding System
PID-4.9.4	Alternate Identifier
PID-4.9.5	Alternate Text
PID-4.9.6	Name of Alternate Coding System
PID-4.9.7	Coding System Version ID
PID-4.9.8	Alternate Coding System Version ID
PID-4.9.9	Original Text
PID-4.10	Assigning Agency or Department
PID-4.10.1	Identifier
PID-4.10.2	Text
PID-4.10.3	Name of Coding System
PID-4.10.4	Alternate Identifier
PID-4.10.5	Alternate Text
PID-4.10.6	Name of Alternate Coding System
PID-4.10.7	Coding System Version ID
PID-4.10.8	Alternate Coding System Version ID
PID-4.10.9	Original Text
PID-5	Patient Name
PID-5.1	Family Name
PID-5.1.1	Surname	Wells
PID-5.1.2	Own Surname Prefix
PID-5.1.3	Own Surname
PID-5.1.4	Surname Prefix From Partner/Spouse
PID-5.1.5	Surname From Partner/Spouse
PID-5.2	Given Name	Lacy
PID-5.3	Second and Further Given Names or Initials Thereof
PID-5.4	Suffix (e.g., JR or III)
PID-5.5	Prefix (e.g., DR)
PID-5.6	Degree (e.g., MD)
PID-5.7	Name Type Code	L
PID-5.8	Name Representation Code
PID-5.9	Name Context
PID-5.9.1	Identifier
PID-5.9.2	Text
PID-5.9.3	Name of Coding System
PID-5.9.4	Alternate Identifier
PID-5.9.5	Alternate Text
PID-5.9.6	Name of Alternate Coding System
PID-5.10	Name Validity Range
PID-5.10.1	Range Start Date/Time
PID-5.10.2	Range End Date/Time
PID-5.11	Name Assembly Order
PID-5.12	Effective Date
PID-5.12.1	Time
PID-5.12.2	Degree of Precision
PID-5.13	Expiration Date
PID-5.13.1	Time
PID-5.13.2	Degree of Precision
PID-5.14	Professional Suffix
PID-6	Mother's Maiden Name
PID-6.1	Family Name
PID-6.1.1	Surname
PID-6.1.2	Own Surname Prefix
PID-6.1.3	Own Surname
PID-6.1.4	Surname Prefix From Partner/Spouse
PID-6.1.5	Surname From Partner/Spouse
PID-6.2	Given Name
PID-6.3	Second and Further Given Names or Initials Thereof
PID-6.4	Suffix (e.g., JR or III)
PID-6.5	Prefix (e.g., DR)
PID-6.6	Degree (e.g., MD)
PID-6.7	Name Type Code
PID-6.8	Name Representation Code
PID-6.9	Name Context
PID-6.9.1	Identifier
PID-6.9.2	Text
PID-6.9.3	Name of Coding System
PID-6.9.4	Alternate Identifier
PID-6.9.5	Alternate Text
PID-6.9.6	Name of Alternate Coding System
PID-6.10	Name Validity Range
PID-6.10.1	Range Start Date/Time
PID-6.10.2	Range End Date/Time
PID-6.11	Name Assembly Order
PID-6.12	Effective Date
PID-6.12.1	Time
PID-6.12.2	Degree of Precision
PID-6.13	Expiration Date
PID-6.13.1	Time
PID-6.13.2	Degree of Precision
PID-6.14	Professional Suffix
PID-7	Date/Time of Birth
PID-7.1	Time	20110430
PID-7.2	Degree of Precision
PID-8	Administrative Sex	F
PID-9	Patient Alias
PID-9.1	Family Name
PID-9.1.1	Surname
PID-9.1.2	Own Surname Prefix
PID-9.1.3	Own Surname
PID-9.1.4	Surname Prefix From Partner/Spouse
PID-9.1.5	Surname From Partner/Spouse
PID-9.2	Given Name
PID-9.3	Second and Further Given Names or Initials Thereof
PID-9.4	Suffix (e.g., JR or III)
PID-9.5	Prefix (e.g., DR)
PID-9.6	Degree (e.g., MD)
PID-9.7	Name Type Code
PID-9.8	Name Representation Code
PID-9.9	Name Context
PID-9.9.1	Identifier
PID-9.9.2	Text
PID-9.9.3	Name of Coding System
PID-9.9.4	Alternate Identifier
PID-9.9.5	Alternate Text
PID-9.9.6	Name of Alternate Coding System
PID-9.10	Name Validity Range
PID-9.10.1	Range Start Date/Time
PID-9.10.2	Range End Date/Time
PID-9.11	Name Assembly Order
PID-9.12	Effective Date
PID-9.12.1	Time
PID-9.12.2	Degree of Precision
PID-9.13	Expiration Date
PID-9.13.1	Time
PID-9.13.2	Degree of Precision
PID-9.14	Professional Suffix
PID-10	Race
PID-10.1	Identifier	2106-3
PID-10.2	Text	White
PID-10.3	Name of Coding System	CDCREC
PID-10.4	Alternate Identifier
PID-10.5	Alternate Text
PID-10.6	Name of Alternate Coding System
PID-11	Patient Address
PID-11.1	Street Address
PID-11.1.1	Street or Mailing Address	12 North Oak St
PID-11.1.2	Street Name
PID-11.1.3	Dwelling Number
PID-11.2	Other Designation
PID-11.3	City	Bozeman
PID-11.4	State or Province	MT
PID-11.5	Zip or Postal Code	59715
PID-11.6	Country	USA
PID-11.7	Address Type	P
PID-11.8	Other Geographic Designation
PID-11.9	County/Parish Code
PID-11.10	Census Tract
PID-11.11	Address Representation Code
PID-11.12	Address Validity Range
PID-11.12.1	Range Start Date/Time
PID-11.12.2	Range End Date/Time
PID-11.13	Effective Date
PID-11.13.1	Time
PID-11.13.2	Degree of Precision
PID-11.14	Expiration Date
PID-11.14.1	Time
PID-11.14.2	Degree of Precision
PID-12	County Code
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	PRN
PID-13.3	Telecommunication Equipment Type	PH
PID-13.4	Email Address
PID-13.5	Country Code
PID-13.6	Area/City Code	406
PID-13.7	Local Number	5552914
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-14	Phone Number - Business
PID-14.1	Telephone Number
PID-14.2	Telecommunication Use Code
PID-14.3	Telecommunication Equipment Type
PID-14.4	Email Address
PID-14.5	Country Code
PID-14.6	Area/City Code
PID-14.7	Local Number
PID-14.8	Extension
PID-14.9	Any Text
PID-14.10	Extension Prefix
PID-14.11	Speed Dial Code
PID-14.12	Unformatted Telephone number
PID-15	Primary Language
PID-15.1	Identifier
PID-15.2	Text
PID-15.3	Name of Coding System
PID-15.4	Alternate Identifier
PID-15.5	Alternate Text
PID-15.6	Name of Alternate Coding System
PID-16	Marital Status
PID-16.1	Identifier
PID-16.2	Text
PID-16.3	Name of Coding System
PID-16.4	Alternate Identifier
PID-16.5	Alternate Text
PID-16.6	Name of Alternate Coding System
PID-17	Religion
PID-17.1	Identifier
PID-17.2	Text
PID-17.3	Name of Coding System
PID-17.4	Alternate Identifier
PID-17.5	Alternate Text
PID-17.6	Name of Alternate Coding System
PID-18	Patient Account Number
PID-18.1	ID Number
PID-18.2	Check Digit
PID-18.3	Check Digit Scheme
PID-18.4	Assigning Authority
PID-18.4.1	Namespace ID
PID-18.4.2	Universal ID
PID-18.4.3	Universal ID Type
PID-18.5	Identifier Type Code
PID-18.6	Assigning Facility
PID-18.6.1	Namespace ID
PID-18.6.2	Universal ID
PID-18.6.3	Universal ID Type
PID-18.7	Effective Date
PID-18.8	Expiration Date
PID-18.9	Assigning Jurisdiction
PID-18.9.1	Identifier
PID-18.9.2	Text
PID-18.9.3	Name of Coding System
PID-18.9.4	Alternate Identifier
PID-18.9.5	Alternate Text
PID-18.9.6	Name of Alternate Coding System
PID-18.9.7	Coding System Version ID
PID-18.9.8	Alternate Coding System Version ID
PID-18.9.9	Original Text
PID-18.10	Assigning Agency or Department
PID-18.10.1	Identifier
PID-18.10.2	Text
PID-18.10.3	Name of Coding System
PID-18.10.4	Alternate Identifier
PID-18.10.5	Alternate Text
PID-18.10.6	Name of Alternate Coding System
PID-18.10.7	Coding System Version ID
PID-18.10.8	Alternate Coding System Version ID
PID-18.10.9	Original Text
PID-19	SSN Number - Patient
PID-20	Driver's License Number - Patient
PID-20.1	License Number
PID-20.2	Issuing State, Province, Country
PID-20.3	Expiration Date
PID-21	Mother's Identifier
PID-21.1	ID Number
PID-21.2	Check Digit
PID-21.3	Check Digit Scheme
PID-21.4	Assigning Authority
PID-21.4.1	Namespace ID
PID-21.4.2	Universal ID
PID-21.4.3	Universal ID Type
PID-21.5	Identifier Type Code
PID-21.6	Assigning Facility
PID-21.6.1	Namespace ID
PID-21.6.2	Universal ID
PID-21.6.3	Universal ID Type
PID-21.7	Effective Date
PID-21.8	Expiration Date
PID-21.9	Assigning Jurisdiction
PID-21.9.1	Identifier
PID-21.9.2	Text
PID-21.9.3	Name of Coding System
PID-21.9.4	Alternate Identifier
PID-21.9.5	Alternate Text
PID-21.9.6	Name of Alternate Coding System
PID-21.9.7	Coding System Version ID
PID-21.9.8	Alternate Coding System Version ID
PID-21.9.9	Original Text
PID-21.10	Assigning Agency or Department
PID-21.10.1	Identifier
PID-21.10.2	Text
PID-21.10.3	Name of Coding System
PID-21.10.4	Alternate Identifier
PID-21.10.5	Alternate Text
PID-21.10.6	Name of Alternate Coding System
PID-21.10.7	Coding System Version ID
PID-21.10.8	Alternate Coding System Version ID
PID-21.10.9	Original Text
PID-22	Ethnic Group
PID-22.1	Identifier	2186-5
PID-22.2	Text	Not Hispanic or Latino
PID-22.3	Name of Coding System	CDCREC
PID-22.4	Alternate Identifier
PID-22.5	Alternate Text
PID-22.6	Name of Alternate Coding System
PID-23	Birth Place
PID-24	Multiple Birth Indicator	N
PID-25	Birth Order	1
PID-26	Citizenship
PID-26.1	Identifier
PID-26.2	Text
PID-26.3	Name of Coding System
PID-26.4	Alternate Identifier
PID-26.5	Alternate Text
PID-26.6	Name of Alternate Coding System
PID-27	Veterans Military Status
PID-27.1	Identifier
PID-27.2	Text
PID-27.3	Name of Coding System
PID-27.4	Alternate Identifier
PID-27.5	Alternate Text
PID-27.6	Name of Alternate Coding System
PID-28	Nationality
PID-28.1	Identifier
PID-28.2	Text
PID-28.3	Name of Coding System
PID-28.4	Alternate Identifier
PID-28.5	Alternate Text
PID-28.6	Name of Alternate Coding System
PID-29	Patient Death Date and Time
PID-29.1	Time
PID-29.2	Degree of Precision
PID-30	Patient Death Indicator	N
PID-31	Identity Unknown Indicator
PID-32	Identity Reliability Code
PID-33	Last Update Date/Time
PID-33.1	Time
PID-33.2	Degree of Precision
PID-34	Last Update Facility
PID-34.1	Namespace ID
PID-34.2	Universal ID
PID-34.3	Universal ID Type
PID-35	Species Code
PID-35.1	Identifier
PID-35.2	Text
PID-35.3	Name of Coding System
PID-35.4	Alternate Identifier
PID-35.5	Alternate Text
PID-35.6	Name of Alternate Coding System
PID-36	Breed Code
PID-36.1	Identifier
PID-36.2	Text
PID-36.3	Name of Coding System
PID-36.4	Alternate Identifier
PID-36.5	Alternate Text
PID-36.6	Name of Alternate Coding System
PID-37	Strain
PID-38	Production Class Code
PID-38.1	Identifier
PID-38.2	Text
PID-38.3	Name of Coding System
PID-38.4	Alternate Identifier
PID-38.5	Alternate Text
PID-38.6	Name of Alternate Coding System
PID-39	Tribal Citizenship
PID-39.1	Identifier
PID-39.2	Text
PID-39.3	Name of Coding System
PID-39.4	Alternate Identifier
PID-39.5	Alternate Text
PID-39.6	Name of Alternate Coding System
PID-39.7	Coding System Version ID
PID-39.8	Alternate Coding System Version ID
PID-39.9	Original Text

PD1 : Patient Additional Demographic

Location	Data Elemenmt	Data	Categrization
PD1-1	Living Dependency
PD1-2	Living Arrangement
PD1-3	Patient Primary Facility
PD1-3.1	Organization Name
PD1-3.2	Organization Name Type Code
PD1-3.3	ID Number
PD1-3.4	Check Digit
PD1-3.5	Check Digit Scheme
PD1-3.6	Assigning Authority
PD1-3.6.1	Namespace ID
PD1-3.6.2	Universal ID
PD1-3.6.3	Universal ID Type
PD1-3.7	Identifier Type Code
PD1-3.8	Assigning Facility
PD1-3.8.1	Namespace ID
PD1-3.8.2	Universal ID
PD1-3.8.3	Universal ID Type
PD1-3.9	Name Representation Code
PD1-3.10	Organization Identifier
PD1-4	Patient Primary Care Provider Name & ID No.
PD1-4.1	ID Number
PD1-4.2	Family Name
PD1-4.2.1	Surname
PD1-4.2.2	Own Surname Prefix
PD1-4.2.3	Own Surname
PD1-4.2.4	Surname Prefix From Partner/Spouse
PD1-4.2.5	Surname From Partner/Spouse
PD1-4.3	Given Name
PD1-4.4	Second and Further Given Names or Initials Thereof
PD1-4.5	Suffix (e.g., JR or III)
PD1-4.6	Prefix (e.g., DR)
PD1-4.7	Degree (e.g., MD)
PD1-4.8	Source Table
PD1-4.9	Assigning Authority
PD1-4.9.1	Namespace ID
PD1-4.9.2	Universal ID
PD1-4.9.3	Universal ID Type
PD1-4.10	Name Type Code
PD1-4.11	Identifier Check Digit
PD1-4.12	Check Digit Scheme
PD1-4.13	Identifier Type Code
PD1-4.14	Assigning Facility
PD1-4.14.1	Namespace ID
PD1-4.14.2	Universal ID
PD1-4.14.3	Universal ID Type
PD1-4.15	Name Representation Code
PD1-4.16	Name Context
PD1-4.16.1	Identifier
PD1-4.16.2	Text
PD1-4.16.3	Name of Coding System
PD1-4.16.4	Alternate Identifier
PD1-4.16.5	Alternate Text
PD1-4.16.6	Name of Alternate Coding System
PD1-4.17	Name Validity Range
PD1-4.17.1	Range Start Date/Time
PD1-4.17.2	Range End Date/Time
PD1-4.18	Name Assembly Order
PD1-4.19	Effective Date
PD1-4.19.1	Time
PD1-4.19.2	Degree of Precision
PD1-4.20	Expiration Date
PD1-4.20.1	Time
PD1-4.20.2	Degree of Precision
PD1-4.21	Professional Suffix
PD1-4.22	Assigning Jurisdiction
PD1-4.22.1	Identifier
PD1-4.22.2	Text
PD1-4.22.3	Name of Coding System
PD1-4.22.4	Alternate Identifier
PD1-4.22.5	Alternate Text
PD1-4.22.6	Name of Alternate Coding System
PD1-4.22.7	Coding System Version ID
PD1-4.22.8	Alternate Coding System Version ID
PD1-4.22.9	Original Text
PD1-4.23	Assigning Agency or Department
PD1-4.23.1	Identifier
PD1-4.23.2	Text
PD1-4.23.3	Name of Coding System
PD1-4.23.4	Alternate Identifier
PD1-4.23.5	Alternate Text
PD1-4.23.6	Name of Alternate Coding System
PD1-4.23.7	Coding System Version ID
PD1-4.23.8	Alternate Coding System Version ID
PD1-4.23.9	Original Text
PD1-5	Student Indicator
PD1-6	Handicap
PD1-7	Living Will Code
PD1-8	Organ Donor Code
PD1-9	Separate Bill
PD1-10	Duplicate Patient
PD1-10.1	ID Number
PD1-10.2	Check Digit
PD1-10.3	Check Digit Scheme
PD1-10.4	Assigning Authority
PD1-10.4.1	Namespace ID
PD1-10.4.2	Universal ID
PD1-10.4.3	Universal ID Type
PD1-10.5	Identifier Type Code
PD1-10.6	Assigning Facility
PD1-10.6.1	Namespace ID
PD1-10.6.2	Universal ID
PD1-10.6.3	Universal ID Type
PD1-10.7	Effective Date
PD1-10.8	Expiration Date
PD1-10.9	Assigning Jurisdiction
PD1-10.9.1	Identifier
PD1-10.9.2	Text
PD1-10.9.3	Name of Coding System
PD1-10.9.4	Alternate Identifier
PD1-10.9.5	Alternate Text
PD1-10.9.6	Name of Alternate Coding System
PD1-10.9.7	Coding System Version ID
PD1-10.9.8	Alternate Coding System Version ID
PD1-10.9.9	Original Text
PD1-10.10	Assigning Agency or Department
PD1-10.10.1	Identifier
PD1-10.10.2	Text
PD1-10.10.3	Name of Coding System
PD1-10.10.4	Alternate Identifier
PD1-10.10.5	Alternate Text
PD1-10.10.6	Name of Alternate Coding System
PD1-10.10.7	Coding System Version ID
PD1-10.10.8	Alternate Coding System Version ID
PD1-10.10.9	Original Text
PD1-11	Publicity Code
PD1-11.1	Identifier	01
PD1-11.2	Text	No reminder/recall
PD1-11.3	Name of Coding System	HL70215
PD1-11.4	Alternate Identifier
PD1-11.5	Alternate Text
PD1-11.6	Name of Alternate Coding System
PD1-12	Protection Indicator	Y
PD1-13	Protection Indicator Effective Date	20150625
PD1-14	Place of Worship
PD1-14.1	Organization Name
PD1-14.2	Organization Name Type Code
PD1-14.3	ID Number
PD1-14.4	Check Digit
PD1-14.5	Check Digit Scheme
PD1-14.6	Assigning Authority
PD1-14.6.1	Namespace ID
PD1-14.6.2	Universal ID
PD1-14.6.3	Universal ID Type
PD1-14.7	Identifier Type Code
PD1-14.8	Assigning Facility
PD1-14.8.1	Namespace ID
PD1-14.8.2	Universal ID
PD1-14.8.3	Universal ID Type
PD1-14.9	Name Representation Code
PD1-14.10	Organization Identifier
PD1-15	Advance Directive Code
PD1-15.1	Identifier
PD1-15.2	Text
PD1-15.3	Name of Coding System
PD1-15.4	Alternate Identifier
PD1-15.5	Alternate Text
PD1-15.6	Name of Alternate Coding System
PD1-16	Immunization Registry Status	A
PD1-17	Immunization Registry Status Effective Date	20110430
PD1-18	Publicity Code Effective Date	20150625
PD1-19	Military Branch
PD1-20	Military Rank/Grade
PD1-21	Military Status

NK1 : Next of Kin / Associated Parties

Location	Data Elemenmt	Data	Categrization
NK1-1	Set ID - NK1	1
NK1-2	Name
NK1-2.1	Family Name
NK1-2.1.1	Surname	Trudeau
NK1-2.1.2	Own Surname Prefix
NK1-2.1.3	Own Surname
NK1-2.1.4	Surname Prefix From Partner/Spouse
NK1-2.1.5	Surname From Partner/Spouse
NK1-2.2	Given Name	Janelle
NK1-2.3	Second and Further Given Names or Initials Thereof
NK1-2.4	Suffix (e.g., JR or III)
NK1-2.5	Prefix (e.g., DR)
NK1-2.6	Degree (e.g., MD)
NK1-2.7	Name Type Code	L
NK1-2.8	Name Representation Code
NK1-2.9	Name Context
NK1-2.9.1	Identifier
NK1-2.9.2	Text
NK1-2.9.3	Name of Coding System
NK1-2.9.4	Alternate Identifier
NK1-2.9.5	Alternate Text
NK1-2.9.6	Name of Alternate Coding System
NK1-2.10	Name Validity Range
NK1-2.10.1	Range Start Date/Time
NK1-2.10.2	Range End Date/Time
NK1-2.11	Name Assembly Order
NK1-2.12	Effective Date
NK1-2.12.1	Time
NK1-2.12.2	Degree of Precision
NK1-2.13	Expiration Date
NK1-2.13.1	Time
NK1-2.13.2	Degree of Precision
NK1-2.14	Professional Suffix
NK1-3	Relationship
NK1-3.1	Identifier	GRD
NK1-3.2	Text	Guardian
NK1-3.3	Name of Coding System	HL70063
NK1-3.4	Alternate Identifier
NK1-3.5	Alternate Text
NK1-3.6	Name of Alternate Coding System
NK1-4	Address
NK1-4.1	Street Address
NK1-4.1.1	Street or Mailing Address	12 North Oak St
NK1-4.1.2	Street Name
NK1-4.1.3	Dwelling Number
NK1-4.2	Other Designation
NK1-4.3	City	Bozeman
NK1-4.4	State or Province	MT
NK1-4.5	Zip or Postal Code	59715
NK1-4.6	Country	USA
NK1-4.7	Address Type	P
NK1-4.8	Other Geographic Designation
NK1-4.9	County/Parish Code
NK1-4.10	Census Tract
NK1-4.11	Address Representation Code
NK1-4.12	Address Validity Range
NK1-4.12.1	Range Start Date/Time
NK1-4.12.2	Range End Date/Time
NK1-4.13	Effective Date
NK1-4.13.1	Time
NK1-4.13.2	Degree of Precision
NK1-4.14	Expiration Date
NK1-4.14.1	Time
NK1-4.14.2	Degree of Precision
NK1-5	Phone Number
NK1-5.1	Telephone Number
NK1-5.2	Telecommunication Use Code	PRN
NK1-5.3	Telecommunication Equipment Type	PH
NK1-5.4	Email Address
NK1-5.5	Country Code
NK1-5.6	Area/City Code	406
NK1-5.7	Local Number	5552914
NK1-5.8	Extension
NK1-5.9	Any Text
NK1-5.10	Extension Prefix
NK1-5.11	Speed Dial Code
NK1-5.12	Unformatted Telephone number
NK1-6	Business Phone Number
NK1-6.1	Telephone Number
NK1-6.2	Telecommunication Use Code
NK1-6.3	Telecommunication Equipment Type
NK1-6.4	Email Address
NK1-6.5	Country Code
NK1-6.6	Area/City Code
NK1-6.7	Local Number
NK1-6.8	Extension
NK1-6.9	Any Text
NK1-6.10	Extension Prefix
NK1-6.11	Speed Dial Code
NK1-6.12	Unformatted Telephone number
NK1-7	Contact Role
NK1-7.1	Identifier
NK1-7.2	Text
NK1-7.3	Name of Coding System
NK1-7.4	Alternate Identifier
NK1-7.5	Alternate Text
NK1-7.6	Name of Alternate Coding System
NK1-8	Start Date
NK1-9	End Date
NK1-10	Next of Kin / Associated Parties Job Title
NK1-11	Next of Kin / Associated Parties Job Code/Class
NK1-11.1	Job Code
NK1-11.2	Job Class
NK1-11.3	Job Description Text
NK1-12	Next of Kin / Associated Parties Employee Number
NK1-12.1	ID Number
NK1-12.2	Check Digit
NK1-12.3	Check Digit Scheme
NK1-12.4	Assigning Authority
NK1-12.4.1	Namespace ID
NK1-12.4.2	Universal ID
NK1-12.4.3	Universal ID Type
NK1-12.5	Identifier Type Code
NK1-12.6	Assigning Facility
NK1-12.6.1	Namespace ID
NK1-12.6.2	Universal ID
NK1-12.6.3	Universal ID Type
NK1-12.7	Effective Date
NK1-12.8	Expiration Date
NK1-12.9	Assigning Jurisdiction
NK1-12.9.1	Identifier
NK1-12.9.2	Text
NK1-12.9.3	Name of Coding System
NK1-12.9.4	Alternate Identifier
NK1-12.9.5	Alternate Text
NK1-12.9.6	Name of Alternate Coding System
NK1-12.9.7	Coding System Version ID
NK1-12.9.8	Alternate Coding System Version ID
NK1-12.9.9	Original Text
NK1-12.10	Assigning Agency or Department
NK1-12.10.1	Identifier
NK1-12.10.2	Text
NK1-12.10.3	Name of Coding System
NK1-12.10.4	Alternate Identifier
NK1-12.10.5	Alternate Text
NK1-12.10.6	Name of Alternate Coding System
NK1-12.10.7	Coding System Version ID
NK1-12.10.8	Alternate Coding System Version ID
NK1-12.10.9	Original Text
NK1-13	Organization Name - NK1
NK1-13.1	Organization Name
NK1-13.2	Organization Name Type Code
NK1-13.3	ID Number
NK1-13.4	Check Digit
NK1-13.5	Check Digit Scheme
NK1-13.6	Assigning Authority
NK1-13.6.1	Namespace ID
NK1-13.6.2	Universal ID
NK1-13.6.3	Universal ID Type
NK1-13.7	Identifier Type Code
NK1-13.8	Assigning Facility
NK1-13.8.1	Namespace ID
NK1-13.8.2	Universal ID
NK1-13.8.3	Universal ID Type
NK1-13.9	Name Representation Code
NK1-13.10	Organization Identifier
NK1-14	Marital Status
NK1-14.1	Identifier
NK1-14.2	Text
NK1-14.3	Name of Coding System
NK1-14.4	Alternate Identifier
NK1-14.5	Alternate Text
NK1-14.6	Name of Alternate Coding System
NK1-15	Administrative Sex
NK1-16	Date/Time of Birth
NK1-16.1	Time
NK1-16.2	Degree of Precision
NK1-17	Living Dependency
NK1-18	Ambulatory Status
NK1-19	Citizenship
NK1-19.1	Identifier
NK1-19.2	Text
NK1-19.3	Name of Coding System
NK1-19.4	Alternate Identifier
NK1-19.5	Alternate Text
NK1-19.6	Name of Alternate Coding System
NK1-20	Primary Language
NK1-20.1	Identifier
NK1-20.2	Text
NK1-20.3	Name of Coding System
NK1-20.4	Alternate Identifier
NK1-20.5	Alternate Text
NK1-20.6	Name of Alternate Coding System
NK1-21	Living Arrangement
NK1-22	Publicity Code
NK1-22.1	Identifier
NK1-22.2	Text
NK1-22.3	Name of Coding System
NK1-22.4	Alternate Identifier
NK1-22.5	Alternate Text
NK1-22.6	Name of Alternate Coding System
NK1-23	Protection Indicator
NK1-24	Student Indicator
NK1-25	Religion
NK1-25.1	Identifier
NK1-25.2	Text
NK1-25.3	Name of Coding System
NK1-25.4	Alternate Identifier
NK1-25.5	Alternate Text
NK1-25.6	Name of Alternate Coding System
NK1-26	Mother's Maiden Name
NK1-26.1	Family Name
NK1-26.1.1	Surname
NK1-26.1.2	Own Surname Prefix
NK1-26.1.3	Own Surname
NK1-26.1.4	Surname Prefix From Partner/Spouse
NK1-26.1.5	Surname From Partner/Spouse
NK1-26.2	Given Name
NK1-26.3	Second and Further Given Names or Initials Thereof
NK1-26.4	Suffix (e.g., JR or III)
NK1-26.5	Prefix (e.g., DR)
NK1-26.6	Degree (e.g., MD)
NK1-26.7	Name Type Code
NK1-26.8	Name Representation Code
NK1-26.9	Name Context
NK1-26.9.1	Identifier
NK1-26.9.2	Text
NK1-26.9.3	Name of Coding System
NK1-26.9.4	Alternate Identifier
NK1-26.9.5	Alternate Text
NK1-26.9.6	Name of Alternate Coding System
NK1-26.10	Name Validity Range
NK1-26.10.1	Range Start Date/Time
NK1-26.10.2	Range End Date/Time
NK1-26.11	Name Assembly Order
NK1-26.12	Effective Date
NK1-26.12.1	Time
NK1-26.12.2	Degree of Precision
NK1-26.13	Expiration Date
NK1-26.13.1	Time
NK1-26.13.2	Degree of Precision
NK1-26.14	Professional Suffix
NK1-27	Nationality
NK1-27.1	Identifier
NK1-27.2	Text
NK1-27.3	Name of Coding System
NK1-27.4	Alternate Identifier
NK1-27.5	Alternate Text
NK1-27.6	Name of Alternate Coding System
NK1-28	Ethnic Group
NK1-28.1	Identifier
NK1-28.2	Text
NK1-28.3	Name of Coding System
NK1-28.4	Alternate Identifier
NK1-28.5	Alternate Text
NK1-28.6	Name of Alternate Coding System
NK1-29	Contact Reason
NK1-29.1	Identifier
NK1-29.2	Text
NK1-29.3	Name of Coding System
NK1-29.4	Alternate Identifier
NK1-29.5	Alternate Text
NK1-29.6	Name of Alternate Coding System
NK1-30	Contact Person's Name
NK1-30.1	Family Name
NK1-30.1.1	Surname
NK1-30.1.2	Own Surname Prefix
NK1-30.1.3	Own Surname
NK1-30.1.4	Surname Prefix From Partner/Spouse
NK1-30.1.5	Surname From Partner/Spouse
NK1-30.2	Given Name
NK1-30.3	Second and Further Given Names or Initials Thereof
NK1-30.4	Suffix (e.g., JR or III)
NK1-30.5	Prefix (e.g., DR)
NK1-30.6	Degree (e.g., MD)
NK1-30.7	Name Type Code
NK1-30.8	Name Representation Code
NK1-30.9	Name Context
NK1-30.9.1	Identifier
NK1-30.9.2	Text
NK1-30.9.3	Name of Coding System
NK1-30.9.4	Alternate Identifier
NK1-30.9.5	Alternate Text
NK1-30.9.6	Name of Alternate Coding System
NK1-30.10	Name Validity Range
NK1-30.10.1	Range Start Date/Time
NK1-30.10.2	Range End Date/Time
NK1-30.11	Name Assembly Order
NK1-30.12	Effective Date
NK1-30.12.1	Time
NK1-30.12.2	Degree of Precision
NK1-30.13	Expiration Date
NK1-30.13.1	Time
NK1-30.13.2	Degree of Precision
NK1-30.14	Professional Suffix
NK1-31	Contact Person's Telephone Number
NK1-31.1	Telephone Number
NK1-31.2	Telecommunication Use Code
NK1-31.3	Telecommunication Equipment Type
NK1-31.4	Email Address
NK1-31.5	Country Code
NK1-31.6	Area/City Code
NK1-31.7	Local Number
NK1-31.8	Extension
NK1-31.9	Any Text
NK1-31.10	Extension Prefix
NK1-31.11	Speed Dial Code
NK1-31.12	Unformatted Telephone number
NK1-32	Contact Person's Address
NK1-32.1	Street Address
NK1-32.1.1	Street or Mailing Address
NK1-32.1.2	Street Name
NK1-32.1.3	Dwelling Number
NK1-32.2	Other Designation
NK1-32.3	City
NK1-32.4	State or Province
NK1-32.5	Zip or Postal Code
NK1-32.6	Country
NK1-32.7	Address Type
NK1-32.8	Other Geographic Designation
NK1-32.9	County/Parish Code
NK1-32.10	Census Tract
NK1-32.11	Address Representation Code
NK1-32.12	Address Validity Range
NK1-32.12.1	Range Start Date/Time
NK1-32.12.2	Range End Date/Time
NK1-32.13	Effective Date
NK1-32.13.1	Time
NK1-32.13.2	Degree of Precision
NK1-32.14	Expiration Date
NK1-32.14.1	Time
NK1-32.14.2	Degree of Precision
NK1-33	Next of Kin/Associated Party's Identifiers
NK1-33.1	ID Number
NK1-33.2	Check Digit
NK1-33.3	Check Digit Scheme
NK1-33.4	Assigning Authority
NK1-33.4.1	Namespace ID
NK1-33.4.2	Universal ID
NK1-33.4.3	Universal ID Type
NK1-33.5	Identifier Type Code
NK1-33.6	Assigning Facility
NK1-33.6.1	Namespace ID
NK1-33.6.2	Universal ID
NK1-33.6.3	Universal ID Type
NK1-33.7	Effective Date
NK1-33.8	Expiration Date
NK1-33.9	Assigning Jurisdiction
NK1-33.9.1	Identifier
NK1-33.9.2	Text
NK1-33.9.3	Name of Coding System
NK1-33.9.4	Alternate Identifier
NK1-33.9.5	Alternate Text
NK1-33.9.6	Name of Alternate Coding System
NK1-33.9.7	Coding System Version ID
NK1-33.9.8	Alternate Coding System Version ID
NK1-33.9.9	Original Text
NK1-33.10	Assigning Agency or Department
NK1-33.10.1	Identifier
NK1-33.10.2	Text
NK1-33.10.3	Name of Coding System
NK1-33.10.4	Alternate Identifier
NK1-33.10.5	Alternate Text
NK1-33.10.6	Name of Alternate Coding System
NK1-33.10.7	Coding System Version ID
NK1-33.10.8	Alternate Coding System Version ID
NK1-33.10.9	Original Text
NK1-34	Job Status
NK1-35	Race
NK1-35.1	Identifier
NK1-35.2	Text
NK1-35.3	Name of Coding System
NK1-35.4	Alternate Identifier
NK1-35.5	Alternate Text
NK1-35.6	Name of Alternate Coding System
NK1-36	Handicap
NK1-37	Contact Person Social Security Number
NK1-38	Next of Kin Birth Place
NK1-39	VIP Indicator

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	657
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	68544
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150625
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	94
RXA-5.2	Text	MMRV
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	407453
RXA-16	Substance Expiration Date
RXA-16.1	Time	20151015
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	MSD
RXA-17.2	Text	Merck and Co., Inc.
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	Intramuscular
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier	RD
RXR-2.2	Text	Right Deltoid
RXR-2.3	Name of Coding System	HL70163
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	PHC70
OBX-5.2	Text	Private
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V01
OBX-5.2	Text	Not VFC Eligible
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300013411100521
OBX-5.2	Text	Measles/Mumps/Rubella/Varicella VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150625
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	7553
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	8671
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number	654
ORC-12.2	Family Name
ORC-12.2.1	Surname	Thomas
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	Wilma
ORC-12.4	Second and Further Given Names or Initials Thereof	Elizabeth
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID	wcEHR
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code	MD
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150625
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	130
RXA-5.2	Text	DTaP-IPV
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text	mL
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	New Record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number	7824
RXA-10.2	Family Name
RXA-10.2.1	Surname	Jackson
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Lily
RXA-10.4	Second and Further Given Names or Initials Thereof	Suzanne
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID	wcEHR
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code	L
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code	PRN
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	wcEHR
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	88402
RXA-16	Substance Expiration Date
RXA-16.1	Time	20150730
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	SKB
RXA-17.2	Text	GlaxoSmithKline
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	Intramuscular
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier	LD
RXR-2.2	Text	Left Deltoid
RXR-2.3	Name of Coding System	HL70163
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30963-3
OBX-3.2	Text	Vaccine Funding Source
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	PHC70
OBX-5.2	Text	Private
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	64994-7
OBX-3.2	Text	Vaccine Funding Program Eligibility
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	V01
OBX-5.2	Text	Not VFC Eligible
OBX-5.3	Name of Coding System	HL70064
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier	VXC40
OBX-17.2	Text	per immunization
OBX-17.3	Name of Coding System	CDCPHINVS
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300017211111108
OBX-5.2	Text	Polio VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	20150625
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	5
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	69764-9
OBX-3.2	Text	Document Type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	4
OBX-5	Observation Value
OBX-5.1	Identifier	253088698300003511070517
OBX-5.2	Text	Diphtheria/Tetanus/Pertussis (DTaP) VIS
OBX-5.3	Name of Coding System	cdcgs1vis
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	6
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	29769-7
OBX-3.2	Text	Date Vis Presented
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	4
OBX-5	Observation Value	20150625
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150625
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

Test Data Specification

Patient Information

Element	Data
Patient Name	Lacy Wells
Mother's Maiden Name
ID Number	22533
Date/Time of Birth	04/30/2011
Administrative Sex	Female
Patient Address	12 North Oak St Bozeman MT 59715 USA
Local Number	(406)555-2914
Race	White
Ethnic Group	Not Hispanic or Latino
Birth Order	1

Immunization Registry Information

Element	Data
Immunization Registry Status	A
Immunization Registry Status Effective Date	04/30/2011
Publicity Code	No reminder/recall
Publicity Code Effective Date	06/25/2015
Protection Indicator	Yes
Protection Indicator Effective Date	06/25/2015

Guardian or Responsible Party

Element	Data
Name	Janelle Trudeau
Relationship	Guardian
Address	12 North Oak St Bozeman MT 59715 USA
Phone Number	(406)555-2914

Vaccine Administration Information

Element	Data
Administered Code	MMRV
Date/Time Start of Administration	06/25/2015
Administered Amount	0.5
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	407453
Substance Expiration Date	10/15/2015
Substance Manufacturer Name	Merck and Co., Inc.
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route	Intramuscular
Administration Site	Right Deltoid
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Private
Vaccine Funding Program Eligibility	Not VFC Eligible
Document Type	Measles/Mumps/Rubella/Varicella VIS
Date Vis Presented

Vaccine Administration Information

Element	Data
Administered Code	DTaP-IPV
Date/Time Start of Administration	06/25/2015
Administered Amount	0.5
Administered Units	mL
Administration Notes	New Record
Administering Provider	Lily Jackson
Substance Lot Number	88402
Substance Expiration Date	07/30/2015
Substance Manufacturer Name	GlaxoSmithKline
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route	Intramuscular
Administration Site	Left Deltoid
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By	Wilma Thomas

Observations

Element	Data
Vaccine Funding Source	Private
Vaccine Funding Program Eligibility	Not VFC Eligible
Document Type	Polio VIS
Date Vis Presented
Document Type	Diphtheria/Tetanus/Pertussis (DTaP) VIS
Date Vis Presented

1.10.2. Consume acknowledgement message

Tests the ability to consume an ACK message containing multiple warnings

Test Story

Description

A mapping error in the IIS software results in the IIS being unable to recognize either administration site sent in RXR-2 even though it is valid. The acknowledgement message returned contains warnings for the invalid values.

Comments

No Comments

PreCondition

A VXU message is generated by the EHR.

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

The errors returned in the acknowledgement message are visible in the system responsible for the content of the administration message.

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	IIS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	wcEHR
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150625115038.044-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	ACK
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	ACK
MSH-10	Message Control ID	29540
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z23
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	IIS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	wcEHR
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AE
MSA-2	Message Control ID	10746
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

ERR : Error

Location	Data Elemenmt	Data	Categrization
ERR-1	Error Code and Location
ERR-1.1	Segment ID
ERR-1.2	Segment Sequence
ERR-1.3	Field Position
ERR-1.4	Code Identifying Error
ERR-1.4.1	Identifier
ERR-1.4.2	Text
ERR-1.4.3	Name of Coding System
ERR-1.4.4	Alternate Identifier
ERR-1.4.5	Alternate Text
ERR-1.4.6	Name of Alternate Coding System
ERR-2	Error Location
ERR-2.1	Segment ID	RXR
ERR-2.2	Segment Sequence	1
ERR-2.3	Field Position	2
ERR-2.4	Field Repetition	1
ERR-2.5	Component Number	1
ERR-2.6	Sub-Component Number
ERR-3	HL7 Error Code
ERR-3.1	Identifier	999
ERR-3.2	Text	Application error
ERR-3.3	Name of Coding System	HL70357
ERR-3.4	Alternate Identifier
ERR-3.5	Alternate Text
ERR-3.6	Name of Alternate Coding System
ERR-3.7	Coding System Version ID
ERR-3.8	Alternate Coding System Version ID
ERR-3.9	Original Text
ERR-4	Severity	W
ERR-5	Application Error Code
ERR-5.1	Identifier	5
ERR-5.2	Text	Table value not found
ERR-5.3	Name of Coding System	HL70533
ERR-5.4	Alternate Identifier
ERR-5.5	Alternate Text
ERR-5.6	Name of Alternate Coding System
ERR-5.7	Coding System Version ID
ERR-5.8	Alternate Coding System Version ID
ERR-5.9	Original Text
ERR-6	Application Error Parameter
ERR-7	Diagnostic Information
ERR-8	User Message	Administration Site not recognized - site data will not be saved
ERR-9	Inform Person Indicator
ERR-10	Override Type
ERR-10.1	Identifier
ERR-10.2	Text
ERR-10.3	Name of Coding System
ERR-10.4	Alternate Identifier
ERR-10.5	Alternate Text
ERR-10.6	Name of Alternate Coding System
ERR-10.7	Coding System Version ID
ERR-10.8	Alternate Coding System Version ID
ERR-10.9	Original Text
ERR-11	Override Reason Code
ERR-11.1	Identifier
ERR-11.2	Text
ERR-11.3	Name of Coding System
ERR-11.4	Alternate Identifier
ERR-11.5	Alternate Text
ERR-11.6	Name of Alternate Coding System
ERR-11.7	Coding System Version ID
ERR-11.8	Alternate Coding System Version ID
ERR-11.9	Original Text
ERR-12	Help Desk Contact Point
ERR-12.1	Telephone Number
ERR-12.2	Telecommunication Use Code
ERR-12.3	Telecommunication Equipment Type
ERR-12.4	Email Address
ERR-12.5	Country Code
ERR-12.6	Area/City Code
ERR-12.7	Local Number
ERR-12.8	Extension
ERR-12.9	Any Text
ERR-12.10	Extension Prefix
ERR-12.11	Speed Dial Code
ERR-12.12	Unformatted Telephone number

ERR : Error

Location	Data Elemenmt	Data	Categrization
ERR-1	Error Code and Location
ERR-1.1	Segment ID
ERR-1.2	Segment Sequence
ERR-1.3	Field Position
ERR-1.4	Code Identifying Error
ERR-1.4.1	Identifier
ERR-1.4.2	Text
ERR-1.4.3	Name of Coding System
ERR-1.4.4	Alternate Identifier
ERR-1.4.5	Alternate Text
ERR-1.4.6	Name of Alternate Coding System
ERR-2	Error Location
ERR-2.1	Segment ID	RXR
ERR-2.2	Segment Sequence	2
ERR-2.3	Field Position	2
ERR-2.4	Field Repetition	1
ERR-2.5	Component Number	1
ERR-2.6	Sub-Component Number
ERR-3	HL7 Error Code
ERR-3.1	Identifier	999
ERR-3.2	Text	Application error
ERR-3.3	Name of Coding System	HL70357
ERR-3.4	Alternate Identifier
ERR-3.5	Alternate Text
ERR-3.6	Name of Alternate Coding System
ERR-3.7	Coding System Version ID
ERR-3.8	Alternate Coding System Version ID
ERR-3.9	Original Text
ERR-4	Severity	W
ERR-5	Application Error Code
ERR-5.1	Identifier	5
ERR-5.2	Text	Table value not found
ERR-5.3	Name of Coding System	HL70533
ERR-5.4	Alternate Identifier
ERR-5.5	Alternate Text
ERR-5.6	Name of Alternate Coding System
ERR-5.7	Coding System Version ID
ERR-5.8	Alternate Coding System Version ID
ERR-5.9	Original Text
ERR-6	Application Error Parameter
ERR-7	Diagnostic Information
ERR-8	User Message	Administration Site not recognized - site data will not be saved
ERR-9	Inform Person Indicator
ERR-10	Override Type
ERR-10.1	Identifier
ERR-10.2	Text
ERR-10.3	Name of Coding System
ERR-10.4	Alternate Identifier
ERR-10.5	Alternate Text
ERR-10.6	Name of Alternate Coding System
ERR-10.7	Coding System Version ID
ERR-10.8	Alternate Coding System Version ID
ERR-10.9	Original Text
ERR-11	Override Reason Code
ERR-11.1	Identifier
ERR-11.2	Text
ERR-11.3	Name of Coding System
ERR-11.4	Alternate Identifier
ERR-11.5	Alternate Text
ERR-11.6	Name of Alternate Coding System
ERR-11.7	Coding System Version ID
ERR-11.8	Alternate Coding System Version ID
ERR-11.9	Original Text
ERR-12	Help Desk Contact Point
ERR-12.1	Telephone Number
ERR-12.2	Telecommunication Use Code
ERR-12.3	Telecommunication Equipment Type
ERR-12.4	Email Address
ERR-12.5	Country Code
ERR-12.6	Area/City Code
ERR-12.7	Local Number
ERR-12.8	Extension
ERR-12.9	Any Text
ERR-12.10	Extension Prefix
ERR-12.11	Speed Dial Code
ERR-12.12	Unformatted Telephone number

1.11. TC-11

Historical administration resulting in system error

Test Story

Description

A patient is seen at a clinic. A historical vaccination is recorded but the IIS is unable to process the administration message, rejects it and returns a fatal error in the?acknowledgement?message.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

The returned error must be visible in the EHR.

Test Objectives

This test case assesses the ability of the EHR to accept an acknowledgement message with a fatal system error being returned by the IIS.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

1.11.1. Send administration message

Tests the ability to create a valid VXU^V04 message

Test Story

Description

A 68 year old male, Manuel Diego Vasquez, comes to the West Clinic for a physical. A clinic staff member collects basic patient demographic information including name, date of birth and sex. The patient reports that he received a pneumococcal vaccination at a local pharmacy on October 21, 2014. The clinic staff determine that no further vaccinations are required. A clinician, Lily Jackson (ID 7824) enters the historical data into the EHR and transmits it to the IIS.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	wcEHR
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	IIS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150625072816.601-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	VXU
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	VXU_V04
MSH-10	Message Control ID	41821
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER
MSH-16	Application Acknowledgment Type	AL
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z22
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	wcEHR
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	IIS
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

PID : Patient Identification

Location	Data Elemenmt	Data	Categrization
PID-1	Set ID - PID	1
PID-2	Patient ID
PID-2.1	ID Number
PID-2.2	Check Digit
PID-2.3	Check Digit Scheme
PID-2.4	Assigning Authority
PID-2.4.1	Namespace ID
PID-2.4.2	Universal ID
PID-2.4.3	Universal ID Type
PID-2.5	Identifier Type Code
PID-2.6	Assigning Facility
PID-2.6.1	Namespace ID
PID-2.6.2	Universal ID
PID-2.6.3	Universal ID Type
PID-2.7	Effective Date
PID-2.8	Expiration Date
PID-2.9	Assigning Jurisdiction
PID-2.9.1	Identifier
PID-2.9.2	Text
PID-2.9.3	Name of Coding System
PID-2.9.4	Alternate Identifier
PID-2.9.5	Alternate Text
PID-2.9.6	Name of Alternate Coding System
PID-2.9.7	Coding System Version ID
PID-2.9.8	Alternate Coding System Version ID
PID-2.9.9	Original Text
PID-2.10	Assigning Agency or Department
PID-2.10.1	Identifier
PID-2.10.2	Text
PID-2.10.3	Name of Coding System
PID-2.10.4	Alternate Identifier
PID-2.10.5	Alternate Text
PID-2.10.6	Name of Alternate Coding System
PID-2.10.7	Coding System Version ID
PID-2.10.8	Alternate Coding System Version ID
PID-2.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	21142
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	wcEHR
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	MR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-4	Alternate Patient ID - PID
PID-4.1	ID Number
PID-4.2	Check Digit
PID-4.3	Check Digit Scheme
PID-4.4	Assigning Authority
PID-4.4.1	Namespace ID
PID-4.4.2	Universal ID
PID-4.4.3	Universal ID Type
PID-4.5	Identifier Type Code
PID-4.6	Assigning Facility
PID-4.6.1	Namespace ID
PID-4.6.2	Universal ID
PID-4.6.3	Universal ID Type
PID-4.7	Effective Date
PID-4.8	Expiration Date
PID-4.9	Assigning Jurisdiction
PID-4.9.1	Identifier
PID-4.9.2	Text
PID-4.9.3	Name of Coding System
PID-4.9.4	Alternate Identifier
PID-4.9.5	Alternate Text
PID-4.9.6	Name of Alternate Coding System
PID-4.9.7	Coding System Version ID
PID-4.9.8	Alternate Coding System Version ID
PID-4.9.9	Original Text
PID-4.10	Assigning Agency or Department
PID-4.10.1	Identifier
PID-4.10.2	Text
PID-4.10.3	Name of Coding System
PID-4.10.4	Alternate Identifier
PID-4.10.5	Alternate Text
PID-4.10.6	Name of Alternate Coding System
PID-4.10.7	Coding System Version ID
PID-4.10.8	Alternate Coding System Version ID
PID-4.10.9	Original Text
PID-5	Patient Name
PID-5.1	Family Name
PID-5.1.1	Surname	Vasquez
PID-5.1.2	Own Surname Prefix
PID-5.1.3	Own Surname
PID-5.1.4	Surname Prefix From Partner/Spouse
PID-5.1.5	Surname From Partner/Spouse
PID-5.2	Given Name	Manuel
PID-5.3	Second and Further Given Names or Initials Thereof	Diego
PID-5.4	Suffix (e.g., JR or III)
PID-5.5	Prefix (e.g., DR)
PID-5.6	Degree (e.g., MD)
PID-5.7	Name Type Code	L
PID-5.8	Name Representation Code
PID-5.9	Name Context
PID-5.9.1	Identifier
PID-5.9.2	Text
PID-5.9.3	Name of Coding System
PID-5.9.4	Alternate Identifier
PID-5.9.5	Alternate Text
PID-5.9.6	Name of Alternate Coding System
PID-5.10	Name Validity Range
PID-5.10.1	Range Start Date/Time
PID-5.10.2	Range End Date/Time
PID-5.11	Name Assembly Order
PID-5.12	Effective Date
PID-5.12.1	Time
PID-5.12.2	Degree of Precision
PID-5.13	Expiration Date
PID-5.13.1	Time
PID-5.13.2	Degree of Precision
PID-5.14	Professional Suffix
PID-6	Mother's Maiden Name
PID-6.1	Family Name
PID-6.1.1	Surname
PID-6.1.2	Own Surname Prefix
PID-6.1.3	Own Surname
PID-6.1.4	Surname Prefix From Partner/Spouse
PID-6.1.5	Surname From Partner/Spouse
PID-6.2	Given Name
PID-6.3	Second and Further Given Names or Initials Thereof
PID-6.4	Suffix (e.g., JR or III)
PID-6.5	Prefix (e.g., DR)
PID-6.6	Degree (e.g., MD)
PID-6.7	Name Type Code
PID-6.8	Name Representation Code
PID-6.9	Name Context
PID-6.9.1	Identifier
PID-6.9.2	Text
PID-6.9.3	Name of Coding System
PID-6.9.4	Alternate Identifier
PID-6.9.5	Alternate Text
PID-6.9.6	Name of Alternate Coding System
PID-6.10	Name Validity Range
PID-6.10.1	Range Start Date/Time
PID-6.10.2	Range End Date/Time
PID-6.11	Name Assembly Order
PID-6.12	Effective Date
PID-6.12.1	Time
PID-6.12.2	Degree of Precision
PID-6.13	Expiration Date
PID-6.13.1	Time
PID-6.13.2	Degree of Precision
PID-6.14	Professional Suffix
PID-7	Date/Time of Birth
PID-7.1	Time	19470215
PID-7.2	Degree of Precision
PID-8	Administrative Sex	M
PID-9	Patient Alias
PID-9.1	Family Name
PID-9.1.1	Surname
PID-9.1.2	Own Surname Prefix
PID-9.1.3	Own Surname
PID-9.1.4	Surname Prefix From Partner/Spouse
PID-9.1.5	Surname From Partner/Spouse
PID-9.2	Given Name
PID-9.3	Second and Further Given Names or Initials Thereof
PID-9.4	Suffix (e.g., JR or III)
PID-9.5	Prefix (e.g., DR)
PID-9.6	Degree (e.g., MD)
PID-9.7	Name Type Code
PID-9.8	Name Representation Code
PID-9.9	Name Context
PID-9.9.1	Identifier
PID-9.9.2	Text
PID-9.9.3	Name of Coding System
PID-9.9.4	Alternate Identifier
PID-9.9.5	Alternate Text
PID-9.9.6	Name of Alternate Coding System
PID-9.10	Name Validity Range
PID-9.10.1	Range Start Date/Time
PID-9.10.2	Range End Date/Time
PID-9.11	Name Assembly Order
PID-9.12	Effective Date
PID-9.12.1	Time
PID-9.12.2	Degree of Precision
PID-9.13	Expiration Date
PID-9.13.1	Time
PID-9.13.2	Degree of Precision
PID-9.14	Professional Suffix
PID-10	Race
PID-10.1	Identifier	2106-3
PID-10.2	Text	White
PID-10.3	Name of Coding System	CDCREC
PID-10.4	Alternate Identifier
PID-10.5	Alternate Text
PID-10.6	Name of Alternate Coding System
PID-11	Patient Address
PID-11.1	Street Address
PID-11.1.1	Street or Mailing Address	227 Park Ave
PID-11.1.2	Street Name
PID-11.1.3	Dwelling Number
PID-11.2	Other Designation
PID-11.3	City	Bozeman
PID-11.4	State or Province	MT
PID-11.5	Zip or Postal Code	59715
PID-11.6	Country	USA
PID-11.7	Address Type	P
PID-11.8	Other Geographic Designation
PID-11.9	County/Parish Code
PID-11.10	Census Tract
PID-11.11	Address Representation Code
PID-11.12	Address Validity Range
PID-11.12.1	Range Start Date/Time
PID-11.12.2	Range End Date/Time
PID-11.13	Effective Date
PID-11.13.1	Time
PID-11.13.2	Degree of Precision
PID-11.14	Expiration Date
PID-11.14.1	Time
PID-11.14.2	Degree of Precision
PID-12	County Code
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	PRN
PID-13.3	Telecommunication Equipment Type	PH
PID-13.4	Email Address
PID-13.5	Country Code
PID-13.6	Area/City Code	406
PID-13.7	Local Number	5555815
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code	NET
PID-13.3	Telecommunication Equipment Type
PID-13.4	Email Address	Manuel.Vasquez@isp.com
PID-13.5	Country Code
PID-13.6	Area/City Code
PID-13.7	Local Number
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-14	Phone Number - Business
PID-14.1	Telephone Number
PID-14.2	Telecommunication Use Code
PID-14.3	Telecommunication Equipment Type
PID-14.4	Email Address
PID-14.5	Country Code
PID-14.6	Area/City Code
PID-14.7	Local Number
PID-14.8	Extension
PID-14.9	Any Text
PID-14.10	Extension Prefix
PID-14.11	Speed Dial Code
PID-14.12	Unformatted Telephone number
PID-15	Primary Language
PID-15.1	Identifier
PID-15.2	Text
PID-15.3	Name of Coding System
PID-15.4	Alternate Identifier
PID-15.5	Alternate Text
PID-15.6	Name of Alternate Coding System
PID-16	Marital Status
PID-16.1	Identifier
PID-16.2	Text
PID-16.3	Name of Coding System
PID-16.4	Alternate Identifier
PID-16.5	Alternate Text
PID-16.6	Name of Alternate Coding System
PID-17	Religion
PID-17.1	Identifier
PID-17.2	Text
PID-17.3	Name of Coding System
PID-17.4	Alternate Identifier
PID-17.5	Alternate Text
PID-17.6	Name of Alternate Coding System
PID-18	Patient Account Number
PID-18.1	ID Number
PID-18.2	Check Digit
PID-18.3	Check Digit Scheme
PID-18.4	Assigning Authority
PID-18.4.1	Namespace ID
PID-18.4.2	Universal ID
PID-18.4.3	Universal ID Type
PID-18.5	Identifier Type Code
PID-18.6	Assigning Facility
PID-18.6.1	Namespace ID
PID-18.6.2	Universal ID
PID-18.6.3	Universal ID Type
PID-18.7	Effective Date
PID-18.8	Expiration Date
PID-18.9	Assigning Jurisdiction
PID-18.9.1	Identifier
PID-18.9.2	Text
PID-18.9.3	Name of Coding System
PID-18.9.4	Alternate Identifier
PID-18.9.5	Alternate Text
PID-18.9.6	Name of Alternate Coding System
PID-18.9.7	Coding System Version ID
PID-18.9.8	Alternate Coding System Version ID
PID-18.9.9	Original Text
PID-18.10	Assigning Agency or Department
PID-18.10.1	Identifier
PID-18.10.2	Text
PID-18.10.3	Name of Coding System
PID-18.10.4	Alternate Identifier
PID-18.10.5	Alternate Text
PID-18.10.6	Name of Alternate Coding System
PID-18.10.7	Coding System Version ID
PID-18.10.8	Alternate Coding System Version ID
PID-18.10.9	Original Text
PID-19	SSN Number - Patient
PID-20	Driver's License Number - Patient
PID-20.1	License Number
PID-20.2	Issuing State, Province, Country
PID-20.3	Expiration Date
PID-21	Mother's Identifier
PID-21.1	ID Number
PID-21.2	Check Digit
PID-21.3	Check Digit Scheme
PID-21.4	Assigning Authority
PID-21.4.1	Namespace ID
PID-21.4.2	Universal ID
PID-21.4.3	Universal ID Type
PID-21.5	Identifier Type Code
PID-21.6	Assigning Facility
PID-21.6.1	Namespace ID
PID-21.6.2	Universal ID
PID-21.6.3	Universal ID Type
PID-21.7	Effective Date
PID-21.8	Expiration Date
PID-21.9	Assigning Jurisdiction
PID-21.9.1	Identifier
PID-21.9.2	Text
PID-21.9.3	Name of Coding System
PID-21.9.4	Alternate Identifier
PID-21.9.5	Alternate Text
PID-21.9.6	Name of Alternate Coding System
PID-21.9.7	Coding System Version ID
PID-21.9.8	Alternate Coding System Version ID
PID-21.9.9	Original Text
PID-21.10	Assigning Agency or Department
PID-21.10.1	Identifier
PID-21.10.2	Text
PID-21.10.3	Name of Coding System
PID-21.10.4	Alternate Identifier
PID-21.10.5	Alternate Text
PID-21.10.6	Name of Alternate Coding System
PID-21.10.7	Coding System Version ID
PID-21.10.8	Alternate Coding System Version ID
PID-21.10.9	Original Text
PID-22	Ethnic Group
PID-22.1	Identifier	2135-2
PID-22.2	Text	Hispanic or Latino
PID-22.3	Name of Coding System	CDCREC
PID-22.4	Alternate Identifier
PID-22.5	Alternate Text
PID-22.6	Name of Alternate Coding System
PID-23	Birth Place
PID-24	Multiple Birth Indicator	N
PID-25	Birth Order	1
PID-26	Citizenship
PID-26.1	Identifier
PID-26.2	Text
PID-26.3	Name of Coding System
PID-26.4	Alternate Identifier
PID-26.5	Alternate Text
PID-26.6	Name of Alternate Coding System
PID-27	Veterans Military Status
PID-27.1	Identifier
PID-27.2	Text
PID-27.3	Name of Coding System
PID-27.4	Alternate Identifier
PID-27.5	Alternate Text
PID-27.6	Name of Alternate Coding System
PID-28	Nationality
PID-28.1	Identifier
PID-28.2	Text
PID-28.3	Name of Coding System
PID-28.4	Alternate Identifier
PID-28.5	Alternate Text
PID-28.6	Name of Alternate Coding System
PID-29	Patient Death Date and Time
PID-29.1	Time
PID-29.2	Degree of Precision
PID-30	Patient Death Indicator	N
PID-31	Identity Unknown Indicator
PID-32	Identity Reliability Code
PID-33	Last Update Date/Time
PID-33.1	Time
PID-33.2	Degree of Precision
PID-34	Last Update Facility
PID-34.1	Namespace ID
PID-34.2	Universal ID
PID-34.3	Universal ID Type
PID-35	Species Code
PID-35.1	Identifier
PID-35.2	Text
PID-35.3	Name of Coding System
PID-35.4	Alternate Identifier
PID-35.5	Alternate Text
PID-35.6	Name of Alternate Coding System
PID-36	Breed Code
PID-36.1	Identifier
PID-36.2	Text
PID-36.3	Name of Coding System
PID-36.4	Alternate Identifier
PID-36.5	Alternate Text
PID-36.6	Name of Alternate Coding System
PID-37	Strain
PID-38	Production Class Code
PID-38.1	Identifier
PID-38.2	Text
PID-38.3	Name of Coding System
PID-38.4	Alternate Identifier
PID-38.5	Alternate Text
PID-38.6	Name of Alternate Coding System
PID-39	Tribal Citizenship
PID-39.1	Identifier
PID-39.2	Text
PID-39.3	Name of Coding System
PID-39.4	Alternate Identifier
PID-39.5	Alternate Text
PID-39.6	Name of Alternate Coding System
PID-39.7	Coding System Version ID
PID-39.8	Alternate Coding System Version ID
PID-39.9	Original Text

PD1 : Patient Additional Demographic

Location	Data Elemenmt	Data	Categrization
PD1-1	Living Dependency
PD1-2	Living Arrangement
PD1-3	Patient Primary Facility
PD1-3.1	Organization Name
PD1-3.2	Organization Name Type Code
PD1-3.3	ID Number
PD1-3.4	Check Digit
PD1-3.5	Check Digit Scheme
PD1-3.6	Assigning Authority
PD1-3.6.1	Namespace ID
PD1-3.6.2	Universal ID
PD1-3.6.3	Universal ID Type
PD1-3.7	Identifier Type Code
PD1-3.8	Assigning Facility
PD1-3.8.1	Namespace ID
PD1-3.8.2	Universal ID
PD1-3.8.3	Universal ID Type
PD1-3.9	Name Representation Code
PD1-3.10	Organization Identifier
PD1-4	Patient Primary Care Provider Name & ID No.
PD1-4.1	ID Number
PD1-4.2	Family Name
PD1-4.2.1	Surname
PD1-4.2.2	Own Surname Prefix
PD1-4.2.3	Own Surname
PD1-4.2.4	Surname Prefix From Partner/Spouse
PD1-4.2.5	Surname From Partner/Spouse
PD1-4.3	Given Name
PD1-4.4	Second and Further Given Names or Initials Thereof
PD1-4.5	Suffix (e.g., JR or III)
PD1-4.6	Prefix (e.g., DR)
PD1-4.7	Degree (e.g., MD)
PD1-4.8	Source Table
PD1-4.9	Assigning Authority
PD1-4.9.1	Namespace ID
PD1-4.9.2	Universal ID
PD1-4.9.3	Universal ID Type
PD1-4.10	Name Type Code
PD1-4.11	Identifier Check Digit
PD1-4.12	Check Digit Scheme
PD1-4.13	Identifier Type Code
PD1-4.14	Assigning Facility
PD1-4.14.1	Namespace ID
PD1-4.14.2	Universal ID
PD1-4.14.3	Universal ID Type
PD1-4.15	Name Representation Code
PD1-4.16	Name Context
PD1-4.16.1	Identifier
PD1-4.16.2	Text
PD1-4.16.3	Name of Coding System
PD1-4.16.4	Alternate Identifier
PD1-4.16.5	Alternate Text
PD1-4.16.6	Name of Alternate Coding System
PD1-4.17	Name Validity Range
PD1-4.17.1	Range Start Date/Time
PD1-4.17.2	Range End Date/Time
PD1-4.18	Name Assembly Order
PD1-4.19	Effective Date
PD1-4.19.1	Time
PD1-4.19.2	Degree of Precision
PD1-4.20	Expiration Date
PD1-4.20.1	Time
PD1-4.20.2	Degree of Precision
PD1-4.21	Professional Suffix
PD1-4.22	Assigning Jurisdiction
PD1-4.22.1	Identifier
PD1-4.22.2	Text
PD1-4.22.3	Name of Coding System
PD1-4.22.4	Alternate Identifier
PD1-4.22.5	Alternate Text
PD1-4.22.6	Name of Alternate Coding System
PD1-4.22.7	Coding System Version ID
PD1-4.22.8	Alternate Coding System Version ID
PD1-4.22.9	Original Text
PD1-4.23	Assigning Agency or Department
PD1-4.23.1	Identifier
PD1-4.23.2	Text
PD1-4.23.3	Name of Coding System
PD1-4.23.4	Alternate Identifier
PD1-4.23.5	Alternate Text
PD1-4.23.6	Name of Alternate Coding System
PD1-4.23.7	Coding System Version ID
PD1-4.23.8	Alternate Coding System Version ID
PD1-4.23.9	Original Text
PD1-5	Student Indicator
PD1-6	Handicap
PD1-7	Living Will Code
PD1-8	Organ Donor Code
PD1-9	Separate Bill
PD1-10	Duplicate Patient
PD1-10.1	ID Number
PD1-10.2	Check Digit
PD1-10.3	Check Digit Scheme
PD1-10.4	Assigning Authority
PD1-10.4.1	Namespace ID
PD1-10.4.2	Universal ID
PD1-10.4.3	Universal ID Type
PD1-10.5	Identifier Type Code
PD1-10.6	Assigning Facility
PD1-10.6.1	Namespace ID
PD1-10.6.2	Universal ID
PD1-10.6.3	Universal ID Type
PD1-10.7	Effective Date
PD1-10.8	Expiration Date
PD1-10.9	Assigning Jurisdiction
PD1-10.9.1	Identifier
PD1-10.9.2	Text
PD1-10.9.3	Name of Coding System
PD1-10.9.4	Alternate Identifier
PD1-10.9.5	Alternate Text
PD1-10.9.6	Name of Alternate Coding System
PD1-10.9.7	Coding System Version ID
PD1-10.9.8	Alternate Coding System Version ID
PD1-10.9.9	Original Text
PD1-10.10	Assigning Agency or Department
PD1-10.10.1	Identifier
PD1-10.10.2	Text
PD1-10.10.3	Name of Coding System
PD1-10.10.4	Alternate Identifier
PD1-10.10.5	Alternate Text
PD1-10.10.6	Name of Alternate Coding System
PD1-10.10.7	Coding System Version ID
PD1-10.10.8	Alternate Coding System Version ID
PD1-10.10.9	Original Text
PD1-11	Publicity Code
PD1-11.1	Identifier	01
PD1-11.2	Text	No reminder/recall
PD1-11.3	Name of Coding System	HL70215
PD1-11.4	Alternate Identifier
PD1-11.5	Alternate Text
PD1-11.6	Name of Alternate Coding System
PD1-12	Protection Indicator	N
PD1-13	Protection Indicator Effective Date	20150625
PD1-14	Place of Worship
PD1-14.1	Organization Name
PD1-14.2	Organization Name Type Code
PD1-14.3	ID Number
PD1-14.4	Check Digit
PD1-14.5	Check Digit Scheme
PD1-14.6	Assigning Authority
PD1-14.6.1	Namespace ID
PD1-14.6.2	Universal ID
PD1-14.6.3	Universal ID Type
PD1-14.7	Identifier Type Code
PD1-14.8	Assigning Facility
PD1-14.8.1	Namespace ID
PD1-14.8.2	Universal ID
PD1-14.8.3	Universal ID Type
PD1-14.9	Name Representation Code
PD1-14.10	Organization Identifier
PD1-15	Advance Directive Code
PD1-15.1	Identifier
PD1-15.2	Text
PD1-15.3	Name of Coding System
PD1-15.4	Alternate Identifier
PD1-15.5	Alternate Text
PD1-15.6	Name of Alternate Coding System
PD1-16	Immunization Registry Status	A
PD1-17	Immunization Registry Status Effective Date	20150625
PD1-18	Publicity Code Effective Date	20150625
PD1-19	Military Branch
PD1-20	Military Rank/Grade
PD1-21	Military Status

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	4486
ORC-2.2	Namespace ID	wcEHR
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	31165
ORC-3.2	Namespace ID	wcEHR
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number	7824
ORC-10.2	Family Name
ORC-10.2.1	Surname	Jackson
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Lily
ORC-10.4	Second and Further Given Names or Initials Thereof	Suzanne
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID	wcEHR
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code	L
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code	PRN
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	wcEHR
ORC-17.2	Text	West Clinic
ORC-17.3	Name of Coding System	HL70362
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20141021
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	152
RXA-5.2	Text	Pneumococcal Conjugate, unspecified formulation
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	Historical Administration
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

Test Data Specification

Patient Information

Element	Data
Patient Name	Manuel Diego Vasquez
Mother's Maiden Name
ID Number	21142
Date/Time of Birth	02/15/1947
Administrative Sex	Male
Patient Address	227 Park Ave Bozeman MT 59715 USA
Local Number	(406)555-5815
Email	Manuel.Vasquez@isp.com
Race	White
Ethnic Group	Hispanic or Latino
Birth Order	1

Immunization Registry Information

Element	Data
Immunization Registry Status	A
Immunization Registry Status Effective Date	06/25/2015
Publicity Code	No reminder/recall
Publicity Code Effective Date	06/25/2015
Protection Indicator	No
Protection Indicator Effective Date	06/25/2015

Vaccine Administration Information

Element	Data
Administered Code	Pneumococcal Conjugate, unspecified formulation
Date/Time Start of Administration	10/21/2014
Administered Amount	999
Administered Units
Administration Notes	Historical Administration
Administering Provider
Substance Lot Number
Substance Expiration Date
Substance Manufacturer Name
Substance/Treatment Refusal Reason
Completion Status	CP
Action Code	Add
Route
Administration Site
Entering Organization	West Clinic
Entered By	Lily Jackson
Ordered By

1.11.2. Consume acknowledgement message

Tests the ability to consume an ACK message containing a system error

Test Story

Description

Due to an error in the IIS software, the IIS is unable to recognize the HL7 version ID sent in MSH-12 even though it is valid. The acknowledgement message returned contains an error for an unsupported version ID.

Comments

No Comments

PreCondition

A VXU message is generated by the EHR.

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

The error returned in the acknowledgement message is visible in the system responsible for the content of the administration message.

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	IIS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	wcEHR
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150625072816.602-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	ACK
MSH-9.2	Trigger Event	V04
MSH-9.3	Message Structure	ACK
MSH-10	Message Control ID	48026
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z23
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	IIS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	wcEHR
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier
MSH-24	Sending Network Address
MSH-24.1	Namespace ID
MSH-24.2	Universal ID
MSH-24.3	Universal ID Type
MSH-25	Receiving Network Address
MSH-25.1	Namespace ID
MSH-25.2	Universal ID
MSH-25.3	Universal ID Type

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AR
MSA-2	Message Control ID	41821
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

ERR : Error

Location	Data Elemenmt	Data	Categrization
ERR-1	Error Code and Location
ERR-1.1	Segment ID
ERR-1.2	Segment Sequence
ERR-1.3	Field Position
ERR-1.4	Code Identifying Error
ERR-1.4.1	Identifier
ERR-1.4.2	Text
ERR-1.4.3	Name of Coding System
ERR-1.4.4	Alternate Identifier
ERR-1.4.5	Alternate Text
ERR-1.4.6	Name of Alternate Coding System
ERR-2	Error Location
ERR-2.1	Segment ID	MSH
ERR-2.2	Segment Sequence	12
ERR-2.3	Field Position	1
ERR-2.4	Field Repetition	1
ERR-2.5	Component Number
ERR-2.6	Sub-Component Number
ERR-3	HL7 Error Code
ERR-3.1	Identifier	203
ERR-3.2	Text	Unsupported Version ID
ERR-3.3	Name of Coding System	HL70357
ERR-3.4	Alternate Identifier
ERR-3.5	Alternate Text
ERR-3.6	Name of Alternate Coding System
ERR-3.7	Coding System Version ID
ERR-3.8	Alternate Coding System Version ID
ERR-3.9	Original Text
ERR-4	Severity	E
ERR-5	Application Error Code
ERR-5.1	Identifier
ERR-5.2	Text
ERR-5.3	Name of Coding System
ERR-5.4	Alternate Identifier
ERR-5.5	Alternate Text
ERR-5.6	Name of Alternate Coding System
ERR-5.7	Coding System Version ID
ERR-5.8	Alternate Coding System Version ID
ERR-5.9	Original Text
ERR-6	Application Error Parameter
ERR-7	Diagnostic Information
ERR-8	User Message	Version ID not recognized - message rejected
ERR-9	Inform Person Indicator
ERR-10	Override Type
ERR-10.1	Identifier
ERR-10.2	Text
ERR-10.3	Name of Coding System
ERR-10.4	Alternate Identifier
ERR-10.5	Alternate Text
ERR-10.6	Name of Alternate Coding System
ERR-10.7	Coding System Version ID
ERR-10.8	Alternate Coding System Version ID
ERR-10.9	Original Text
ERR-11	Override Reason Code
ERR-11.1	Identifier
ERR-11.2	Text
ERR-11.3	Name of Coding System
ERR-11.4	Alternate Identifier
ERR-11.5	Alternate Text
ERR-11.6	Name of Alternate Coding System
ERR-11.7	Coding System Version ID
ERR-11.8	Alternate Coding System Version ID
ERR-11.9	Original Text
ERR-12	Help Desk Contact Point
ERR-12.1	Telephone Number
ERR-12.2	Telecommunication Use Code
ERR-12.3	Telecommunication Equipment Type
ERR-12.4	Email Address
ERR-12.5	Country Code
ERR-12.6	Area/City Code
ERR-12.7	Local Number
ERR-12.8	Extension
ERR-12.9	Any Text
ERR-12.10	Extension Prefix
ERR-12.11	Speed Dial Code
ERR-12.12	Unformatted Telephone number

2. Evaluated History and Forecast Group

This set of tests evaluates the EHR's ability to create well-formed queries and gracefully accept the response messages. It evaluates that the clinician is shown the results of the query.

2.1. Q R TC-1

QBP for young adult with immunization history

Test Story

Description

A young adult is seen by a clinician. The clinician uses the EHR to request and evaluated history and forecast.  The IIS returns an evaluated history and forecast for that person.

Comments

No Comments

PreCondition

The person has a record in the IIS.

PostCondition

No PostCondition

Test Objectives

Evaluates EHR ability to create a well formed query for a young adult. Evaluates EHR ability to accept a response with evaluated history and forecast for that person.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

2.1.1. send query

Query requests an evaluated history and forecast for a young adult

Test Story

Description

No Description

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID	MyEHR
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	DCS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID	MyIIS
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	StatePH
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150531145156-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	QBP
MSH-9.2	Trigger Event	Q11
MSH-9.3	Message Structure	QBP_Q11
MSH-10	Message Control ID	443533469
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER
MSH-16	Application Acknowledgment Type	AL
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z44
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	DCS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID	DCS
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code	XX
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier	6439432
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	StatePH
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier

QPD : Query Parameter Definition

Location	Data Elemenmt	Data	Categrization
QPD-1	Message Query Name
QPD-1.1	Identifier	Z44
QPD-1.2	Text	Request Evaluated History and Forecast
QPD-1.3	Name of Coding System	CDCPHINVS
QPD-1.4	Alternate Identifier
QPD-1.5	Alternate Text
QPD-1.6	Name of Alternate Coding System
QPD-2	Query Tag	37374859
QPD-3	PatientList
QPD-3.1	ID Number	12993456
QPD-3.2	Check Digit
QPD-3.3	Check Digit Scheme
QPD-3.4	Assigning Authority
QPD-3.4.1	Namespace ID	MYEHR
QPD-3.4.2	Universal ID
QPD-3.4.3	Universal ID Type
QPD-3.5	Identifier Type Code	MR
QPD-3.6	Assigning Facility
QPD-3.6.1	Namespace ID
QPD-3.6.2	Universal ID
QPD-3.6.3	Universal ID Type
QPD-3.7	Effective Date
QPD-3.8	Expiration Date
QPD-3.9	Assigning Jurisdiction
QPD-3.9.1	Identifier
QPD-3.9.2	Text
QPD-3.9.3	Name of Coding System
QPD-3.9.4	Alternate Identifier
QPD-3.9.5	Alternate Text
QPD-3.9.6	Name of Alternate Coding System
QPD-3.9.7	Coding System Version ID
QPD-3.9.8	Alternate Coding System Version ID
QPD-3.9.9	Original Text
QPD-3.10	Assigning Agency or Department
QPD-3.10.1	Identifier
QPD-3.10.2	Text
QPD-3.10.3	Name of Coding System
QPD-3.10.4	Alternate Identifier
QPD-3.10.5	Alternate Text
QPD-3.10.6	Name of Alternate Coding System
QPD-3.10.7	Coding System Version ID
QPD-3.10.8	Alternate Coding System Version ID
QPD-3.10.9	Original Text
QPD-4	PatientName
QPD-4.1	Family Name
QPD-4.1.1	Surname	Stanley
QPD-4.1.2	Own Surname Prefix
QPD-4.1.3	Own Surname
QPD-4.1.4	Surname Prefix From Partner/Spouse
QPD-4.1.5	Surname From Partner/Spouse
QPD-4.2	Given Name	Sally
QPD-4.3	Second and Further Given Names or Initials Thereof	S
QPD-4.4	Suffix (e.g., JR or III)
QPD-4.5	Prefix (e.g., DR)
QPD-4.6	Degree (e.g., MD)
QPD-4.7	Name Type Code	L
QPD-4.8	Name Representation Code
QPD-4.9	Name Context
QPD-4.9.1	Identifier
QPD-4.9.2	Text
QPD-4.9.3	Name of Coding System
QPD-4.9.4	Alternate Identifier
QPD-4.9.5	Alternate Text
QPD-4.9.6	Name of Alternate Coding System
QPD-4.10	Name Validity Range
QPD-4.10.1	Range Start Date/Time
QPD-4.10.2	Range End Date/Time
QPD-4.11	Name Assembly Order
QPD-4.12	Effective Date
QPD-4.12.1	Time
QPD-4.12.2	Degree of Precision
QPD-4.13	Expiration Date
QPD-4.13.1	Time
QPD-4.13.2	Degree of Precision
QPD-4.14	Professional Suffix
QPD-5	PatientMotherMaidenName
QPD-5.1	Family Name
QPD-5.1.1	Surname
QPD-5.1.2	Own Surname Prefix
QPD-5.1.3	Own Surname
QPD-5.1.4	Surname Prefix From Partner/Spouse
QPD-5.1.5	Surname From Partner/Spouse
QPD-5.2	Given Name
QPD-5.3	Second and Further Given Names or Initials Thereof
QPD-5.4	Suffix (e.g., JR or III)
QPD-5.5	Prefix (e.g., DR)
QPD-5.6	Degree (e.g., MD)
QPD-5.7	Name Type Code
QPD-5.8	Name Representation Code
QPD-5.9	Name Context
QPD-5.9.1	Identifier
QPD-5.9.2	Text
QPD-5.9.3	Name of Coding System
QPD-5.9.4	Alternate Identifier
QPD-5.9.5	Alternate Text
QPD-5.9.6	Name of Alternate Coding System
QPD-5.10	Name Validity Range
QPD-5.10.1	Range Start Date/Time
QPD-5.10.2	Range End Date/Time
QPD-5.11	Name Assembly Order
QPD-5.12	Effective Date
QPD-5.12.1	Time
QPD-5.12.2	Degree of Precision
QPD-5.13	Expiration Date
QPD-5.13.1	Time
QPD-5.13.2	Degree of Precision
QPD-5.14	Professional Suffix
QPD-6	PatientDateOfBirth
QPD-6.1	Time	19800214
QPD-6.2	Degree of Precision
QPD-7	Patient Sex	M
QPD-8	Patient Address
QPD-8.1	Street Address
QPD-8.1.1	Street or Mailing Address	10 East Main St
QPD-8.1.2	Street Name
QPD-8.1.3	Dwelling Number
QPD-8.2	Other Designation
QPD-8.3	City	Pretty Valley
QPD-8.4	State or Province	MI
QPD-8.5	Zip or Postal Code
QPD-8.6	Country
QPD-8.7	Address Type	L
QPD-8.8	Other Geographic Designation
QPD-8.9	County/Parish Code
QPD-8.10	Census Tract
QPD-8.11	Address Representation Code
QPD-8.12	Address Validity Range
QPD-8.12.1	Range Start Date/Time
QPD-8.12.2	Range End Date/Time
QPD-8.13	Effective Date
QPD-8.13.1	Time
QPD-8.13.2	Degree of Precision
QPD-8.14	Expiration Date
QPD-8.14.1	Time
QPD-8.14.2	Degree of Precision
QPD-9	Phone
QPD-9.1	Telephone Number
QPD-9.2	Telecommunication Use Code	PRN
QPD-9.3	Telecommunication Equipment Type	PH
QPD-9.4	Email Address
QPD-9.5	Country Code
QPD-9.6	Area/City Code	734
QPD-9.7	Local Number	5556712
QPD-9.8	Extension
QPD-9.9	Any Text
QPD-9.10	Extension Prefix
QPD-9.11	Speed Dial Code
QPD-9.12	Unformatted Telephone number
QPD-10	Multiple birth indicator
QPD-11	Birth order
QPD-12	Client last updated date
QPD-12.1	Time
QPD-12.2	Degree of Precision
QPD-13	Client last updated facility
QPD-13.1	Namespace ID
QPD-13.2	Universal ID
QPD-13.3	Universal ID Type

RCP : Response Control Parameter

Location	Data Elemenmt	Data	Categrization
RCP-1	Query Priority	I
RCP-2	Quantity Limited Request
RCP-2.1	Quantity	5
RCP-2.2	Units
RCP-2.2.1	Identifier	RD
RCP-2.2.2	Text	Records
RCP-2.2.3	Name of Coding System	HL70126
RCP-2.2.4	Alternate Identifier
RCP-2.2.5	Alternate Text
RCP-2.2.6	Name of Alternate Coding System
RCP-3	Response Modality
RCP-3.1	Identifier
RCP-3.2	Text
RCP-3.3	Name of Coding System
RCP-3.4	Alternate Identifier
RCP-3.5	Alternate Text
RCP-3.6	Name of Alternate Coding System
RCP-4	Execution and Delivery Time
RCP-4.1	Time
RCP-4.2	Degree of Precision
RCP-5	Modify Indicator
RCP-6	Sort-by Field
RCP-6.1	Sort-by Field
RCP-6.2	Sequencing
RCP-7	Segment group inclusion

Test Data Specification

Patient Information

Element	Data
Patient Name	Sally S Stanley
Date/Time of Birth	02/14/1980
Sex	M
Patient Address	10 East Main St Pretty Valley MI
Patient Phone	(734)555-6712

2.1.2. Send response

No Description

Test Story

Description

No Description

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID	MyIIS
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	StatePH
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID	MyEHR
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	DCS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150531145233-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	RSP
MSH-9.2	Trigger Event	K11
MSH-9.3	Message Structure	RSP_K11
MSH-10	Message Control ID	4483533469
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z42
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	StatePH
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	DCS
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID	DCS
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code	XX
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier	6439432

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AA	Test Case Fixed
MSA-2	Message Control ID	793543	System Generated
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

QAK : Query Acknowledgment

Location	Data Elemenmt	Data	Categrization
QAK-1	Query Tag	37374859	System Generated
QAK-2	Query Response Status	OK	Test Case Fixed
QAK-3	Message Query Name
QAK-3.1	Identifier	Z44
QAK-3.2	Text	request evaluated Immunization history
QAK-3.3	Name of Coding System	CDCPHINVS
QAK-3.4	Alternate Identifier
QAK-3.5	Alternate Text
QAK-3.6	Name of Alternate Coding System
QAK-4	Hit Count
QAK-5	This payload
QAK-6	Hits remaining

QPD : Query Parameter Definition

Location	Data Elemenmt	Data	Categrization
QPD-1	Message Query Name
QPD-1.1	Identifier	Z44
QPD-1.2	Text	Request Evaluated History and Forecast
QPD-1.3	Name of Coding System	CDCPHINVS
QPD-1.4	Alternate Identifier
QPD-1.5	Alternate Text
QPD-1.6	Name of Alternate Coding System
QPD-2	Query Tag	37374859
QPD-3	PatientList
QPD-3.1	ID Number	12993456
QPD-3.2	Check Digit
QPD-3.3	Check Digit Scheme
QPD-3.4	Assigning Authority
QPD-3.4.1	Namespace ID	MYEHR
QPD-3.4.2	Universal ID
QPD-3.4.3	Universal ID Type
QPD-3.5	Identifier Type Code	MR
QPD-3.6	Assigning Facility
QPD-3.6.1	Namespace ID
QPD-3.6.2	Universal ID
QPD-3.6.3	Universal ID Type
QPD-3.7	Effective Date
QPD-3.8	Expiration Date
QPD-3.9	Assigning Jurisdiction
QPD-3.9.1	Identifier
QPD-3.9.2	Text
QPD-3.9.3	Name of Coding System
QPD-3.9.4	Alternate Identifier
QPD-3.9.5	Alternate Text
QPD-3.9.6	Name of Alternate Coding System
QPD-3.9.7	Coding System Version ID
QPD-3.9.8	Alternate Coding System Version ID
QPD-3.9.9	Original Text
QPD-3.10	Assigning Agency or Department
QPD-3.10.1	Identifier
QPD-3.10.2	Text
QPD-3.10.3	Name of Coding System
QPD-3.10.4	Alternate Identifier
QPD-3.10.5	Alternate Text
QPD-3.10.6	Name of Alternate Coding System
QPD-3.10.7	Coding System Version ID
QPD-3.10.8	Alternate Coding System Version ID
QPD-3.10.9	Original Text
QPD-4	PatientName
QPD-4.1	Family Name
QPD-4.1.1	Surname	Stanley
QPD-4.1.2	Own Surname Prefix
QPD-4.1.3	Own Surname
QPD-4.1.4	Surname Prefix From Partner/Spouse
QPD-4.1.5	Surname From Partner/Spouse
QPD-4.2	Given Name	Sally
QPD-4.3	Second and Further Given Names or Initials Thereof	S
QPD-4.4	Suffix (e.g., JR or III)
QPD-4.5	Prefix (e.g., DR)
QPD-4.6	Degree (e.g., MD)
QPD-4.7	Name Type Code	L
QPD-4.8	Name Representation Code
QPD-4.9	Name Context
QPD-4.9.1	Identifier
QPD-4.9.2	Text
QPD-4.9.3	Name of Coding System
QPD-4.9.4	Alternate Identifier
QPD-4.9.5	Alternate Text
QPD-4.9.6	Name of Alternate Coding System
QPD-4.10	Name Validity Range
QPD-4.10.1	Range Start Date/Time
QPD-4.10.2	Range End Date/Time
QPD-4.11	Name Assembly Order
QPD-4.12	Effective Date
QPD-4.12.1	Time
QPD-4.12.2	Degree of Precision
QPD-4.13	Expiration Date
QPD-4.13.1	Time
QPD-4.13.2	Degree of Precision
QPD-4.14	Professional Suffix
QPD-5	PatientMotherMaidenName
QPD-5.1	Family Name
QPD-5.1.1	Surname
QPD-5.1.2	Own Surname Prefix
QPD-5.1.3	Own Surname
QPD-5.1.4	Surname Prefix From Partner/Spouse
QPD-5.1.5	Surname From Partner/Spouse
QPD-5.2	Given Name
QPD-5.3	Second and Further Given Names or Initials Thereof
QPD-5.4	Suffix (e.g., JR or III)
QPD-5.5	Prefix (e.g., DR)
QPD-5.6	Degree (e.g., MD)
QPD-5.7	Name Type Code
QPD-5.8	Name Representation Code
QPD-5.9	Name Context
QPD-5.9.1	Identifier
QPD-5.9.2	Text
QPD-5.9.3	Name of Coding System
QPD-5.9.4	Alternate Identifier
QPD-5.9.5	Alternate Text
QPD-5.9.6	Name of Alternate Coding System
QPD-5.10	Name Validity Range
QPD-5.10.1	Range Start Date/Time
QPD-5.10.2	Range End Date/Time
QPD-5.11	Name Assembly Order
QPD-5.12	Effective Date
QPD-5.12.1	Time
QPD-5.12.2	Degree of Precision
QPD-5.13	Expiration Date
QPD-5.13.1	Time
QPD-5.13.2	Degree of Precision
QPD-5.14	Professional Suffix
QPD-6	PatientDateOfBirth
QPD-6.1	Time	19800214
QPD-6.2	Degree of Precision
QPD-7	Patient Sex	F
QPD-8	Patient Address
QPD-8.1	Street Address
QPD-8.1.1	Street or Mailing Address	10 East Main St
QPD-8.1.2	Street Name
QPD-8.1.3	Dwelling Number
QPD-8.2	Other Designation
QPD-8.3	City	Pretty Valley
QPD-8.4	State or Province	MI
QPD-8.5	Zip or Postal Code
QPD-8.6	Country
QPD-8.7	Address Type	L
QPD-8.8	Other Geographic Designation
QPD-8.9	County/Parish Code
QPD-8.10	Census Tract
QPD-8.11	Address Representation Code
QPD-8.12	Address Validity Range
QPD-8.12.1	Range Start Date/Time
QPD-8.12.2	Range End Date/Time
QPD-8.13	Effective Date
QPD-8.13.1	Time
QPD-8.13.2	Degree of Precision
QPD-8.14	Expiration Date
QPD-8.14.1	Time
QPD-8.14.2	Degree of Precision
QPD-9	Phone
QPD-9.1	Telephone Number
QPD-9.2	Telecommunication Use Code	PRN
QPD-9.3	Telecommunication Equipment Type	PH
QPD-9.4	Email Address
QPD-9.5	Country Code
QPD-9.6	Area/City Code	734
QPD-9.7	Local Number	5556712
QPD-9.8	Extension
QPD-9.9	Any Text
QPD-9.10	Extension Prefix
QPD-9.11	Speed Dial Code
QPD-9.12	Unformatted Telephone number
QPD-10	Multiple birth indicator
QPD-11	Birth order
QPD-12	Client last updated date
QPD-12.1	Time
QPD-12.2	Degree of Precision
QPD-13	Client last updated facility
QPD-13.1	Namespace ID
QPD-13.2	Universal ID
QPD-13.3	Universal ID Type

PID : Patient Identification

Location	Data Elemenmt	Data	Categrization
PID-1	Set ID - PID	1
PID-2	Patient ID
PID-2.1	ID Number
PID-2.2	Check Digit
PID-2.3	Check Digit Scheme
PID-2.4	Assigning Authority
PID-2.4.1	Namespace ID
PID-2.4.2	Universal ID
PID-2.4.3	Universal ID Type
PID-2.5	Identifier Type Code
PID-2.6	Assigning Facility
PID-2.6.1	Namespace ID
PID-2.6.2	Universal ID
PID-2.6.3	Universal ID Type
PID-2.7	Effective Date
PID-2.8	Expiration Date
PID-2.9	Assigning Jurisdiction
PID-2.9.1	Identifier
PID-2.9.2	Text
PID-2.9.3	Name of Coding System
PID-2.9.4	Alternate Identifier
PID-2.9.5	Alternate Text
PID-2.9.6	Name of Alternate Coding System
PID-2.9.7	Coding System Version ID
PID-2.9.8	Alternate Coding System Version ID
PID-2.9.9	Original Text
PID-2.10	Assigning Agency or Department
PID-2.10.1	Identifier
PID-2.10.2	Text
PID-2.10.3	Name of Coding System
PID-2.10.4	Alternate Identifier
PID-2.10.5	Alternate Text
PID-2.10.6	Name of Alternate Coding System
PID-2.10.7	Coding System Version ID
PID-2.10.8	Alternate Coding System Version ID
PID-2.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	12993456
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	MYEHR
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	MR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	34500907
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	MyIIS
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	SR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-4	Alternate Patient ID - PID
PID-4.1	ID Number
PID-4.2	Check Digit
PID-4.3	Check Digit Scheme
PID-4.4	Assigning Authority
PID-4.4.1	Namespace ID
PID-4.4.2	Universal ID
PID-4.4.3	Universal ID Type
PID-4.5	Identifier Type Code
PID-4.6	Assigning Facility
PID-4.6.1	Namespace ID
PID-4.6.2	Universal ID
PID-4.6.3	Universal ID Type
PID-4.7	Effective Date
PID-4.8	Expiration Date
PID-4.9	Assigning Jurisdiction
PID-4.9.1	Identifier
PID-4.9.2	Text
PID-4.9.3	Name of Coding System
PID-4.9.4	Alternate Identifier
PID-4.9.5	Alternate Text
PID-4.9.6	Name of Alternate Coding System
PID-4.9.7	Coding System Version ID
PID-4.9.8	Alternate Coding System Version ID
PID-4.9.9	Original Text
PID-4.10	Assigning Agency or Department
PID-4.10.1	Identifier
PID-4.10.2	Text
PID-4.10.3	Name of Coding System
PID-4.10.4	Alternate Identifier
PID-4.10.5	Alternate Text
PID-4.10.6	Name of Alternate Coding System
PID-4.10.7	Coding System Version ID
PID-4.10.8	Alternate Coding System Version ID
PID-4.10.9	Original Text
PID-5	Patient Name
PID-5.1	Family Name
PID-5.1.1	Surname	Stanley
PID-5.1.2	Own Surname Prefix
PID-5.1.3	Own Surname
PID-5.1.4	Surname Prefix From Partner/Spouse
PID-5.1.5	Surname From Partner/Spouse
PID-5.2	Given Name	Sally
PID-5.3	Second and Further Given Names or Initials Thereof	S
PID-5.4	Suffix (e.g., JR or III)
PID-5.5	Prefix (e.g., DR)
PID-5.6	Degree (e.g., MD)
PID-5.7	Name Type Code	L
PID-5.8	Name Representation Code
PID-5.9	Name Context
PID-5.9.1	Identifier
PID-5.9.2	Text
PID-5.9.3	Name of Coding System
PID-5.9.4	Alternate Identifier
PID-5.9.5	Alternate Text
PID-5.9.6	Name of Alternate Coding System
PID-5.10	Name Validity Range
PID-5.10.1	Range Start Date/Time
PID-5.10.2	Range End Date/Time
PID-5.11	Name Assembly Order
PID-5.12	Effective Date
PID-5.12.1	Time
PID-5.12.2	Degree of Precision
PID-5.13	Expiration Date
PID-5.13.1	Time
PID-5.13.2	Degree of Precision
PID-5.14	Professional Suffix
PID-6	Mother's Maiden Name
PID-6.1	Family Name
PID-6.1.1	Surname
PID-6.1.2	Own Surname Prefix
PID-6.1.3	Own Surname
PID-6.1.4	Surname Prefix From Partner/Spouse
PID-6.1.5	Surname From Partner/Spouse
PID-6.2	Given Name
PID-6.3	Second and Further Given Names or Initials Thereof
PID-6.4	Suffix (e.g., JR or III)
PID-6.5	Prefix (e.g., DR)
PID-6.6	Degree (e.g., MD)
PID-6.7	Name Type Code
PID-6.8	Name Representation Code
PID-6.9	Name Context
PID-6.9.1	Identifier
PID-6.9.2	Text
PID-6.9.3	Name of Coding System
PID-6.9.4	Alternate Identifier
PID-6.9.5	Alternate Text
PID-6.9.6	Name of Alternate Coding System
PID-6.10	Name Validity Range
PID-6.10.1	Range Start Date/Time
PID-6.10.2	Range End Date/Time
PID-6.11	Name Assembly Order
PID-6.12	Effective Date
PID-6.12.1	Time
PID-6.12.2	Degree of Precision
PID-6.13	Expiration Date
PID-6.13.1	Time
PID-6.13.2	Degree of Precision
PID-6.14	Professional Suffix
PID-7	Date/Time of Birth
PID-7.1	Time	19800214
PID-7.2	Degree of Precision
PID-8	Administrative Sex	F
PID-9	Patient Alias
PID-9.1	Family Name
PID-9.1.1	Surname
PID-9.1.2	Own Surname Prefix
PID-9.1.3	Own Surname
PID-9.1.4	Surname Prefix From Partner/Spouse
PID-9.1.5	Surname From Partner/Spouse
PID-9.2	Given Name
PID-9.3	Second and Further Given Names or Initials Thereof
PID-9.4	Suffix (e.g., JR or III)
PID-9.5	Prefix (e.g., DR)
PID-9.6	Degree (e.g., MD)
PID-9.7	Name Type Code
PID-9.8	Name Representation Code
PID-9.9	Name Context
PID-9.9.1	Identifier
PID-9.9.2	Text
PID-9.9.3	Name of Coding System
PID-9.9.4	Alternate Identifier
PID-9.9.5	Alternate Text
PID-9.9.6	Name of Alternate Coding System
PID-9.10	Name Validity Range
PID-9.10.1	Range Start Date/Time
PID-9.10.2	Range End Date/Time
PID-9.11	Name Assembly Order
PID-9.12	Effective Date
PID-9.12.1	Time
PID-9.12.2	Degree of Precision
PID-9.13	Expiration Date
PID-9.13.1	Time
PID-9.13.2	Degree of Precision
PID-9.14	Professional Suffix
PID-10	Race
PID-10.1	Identifier	10 East Main St
PID-10.2	Text
PID-10.3	Name of Coding System	Titletown
PID-10.4	Alternate Identifier	WI
PID-10.5	Alternate Text
PID-10.6	Name of Alternate Coding System
PID-11	Patient Address
PID-11.1	Street Address
PID-11.1.1	Street or Mailing Address
PID-11.1.2	Street Name
PID-11.1.3	Dwelling Number
PID-11.2	Other Designation
PID-11.3	City
PID-11.4	State or Province
PID-11.5	Zip or Postal Code
PID-11.6	Country
PID-11.7	Address Type
PID-11.8	Other Geographic Designation
PID-11.9	County/Parish Code
PID-11.10	Census Tract
PID-11.11	Address Representation Code
PID-11.12	Address Validity Range
PID-11.12.1	Range Start Date/Time
PID-11.12.2	Range End Date/Time
PID-11.13	Effective Date
PID-11.13.1	Time
PID-11.13.2	Degree of Precision
PID-11.14	Expiration Date
PID-11.14.1	Time
PID-11.14.2	Degree of Precision
PID-12	County Code
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code
PID-13.3	Telecommunication Equipment Type
PID-13.4	Email Address
PID-13.5	Country Code
PID-13.6	Area/City Code
PID-13.7	Local Number
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-14	Phone Number - Business
PID-14.1	Telephone Number
PID-14.2	Telecommunication Use Code
PID-14.3	Telecommunication Equipment Type
PID-14.4	Email Address
PID-14.5	Country Code
PID-14.6	Area/City Code
PID-14.7	Local Number
PID-14.8	Extension
PID-14.9	Any Text
PID-14.10	Extension Prefix
PID-14.11	Speed Dial Code
PID-14.12	Unformatted Telephone number
PID-15	Primary Language
PID-15.1	Identifier
PID-15.2	Text
PID-15.3	Name of Coding System
PID-15.4	Alternate Identifier
PID-15.5	Alternate Text
PID-15.6	Name of Alternate Coding System
PID-16	Marital Status
PID-16.1	Identifier
PID-16.2	Text
PID-16.3	Name of Coding System
PID-16.4	Alternate Identifier
PID-16.5	Alternate Text
PID-16.6	Name of Alternate Coding System
PID-17	Religion
PID-17.1	Identifier
PID-17.2	Text
PID-17.3	Name of Coding System
PID-17.4	Alternate Identifier
PID-17.5	Alternate Text
PID-17.6	Name of Alternate Coding System
PID-18	Patient Account Number
PID-18.1	ID Number
PID-18.2	Check Digit
PID-18.3	Check Digit Scheme
PID-18.4	Assigning Authority
PID-18.4.1	Namespace ID
PID-18.4.2	Universal ID
PID-18.4.3	Universal ID Type
PID-18.5	Identifier Type Code
PID-18.6	Assigning Facility
PID-18.6.1	Namespace ID
PID-18.6.2	Universal ID
PID-18.6.3	Universal ID Type
PID-18.7	Effective Date
PID-18.8	Expiration Date
PID-18.9	Assigning Jurisdiction
PID-18.9.1	Identifier
PID-18.9.2	Text
PID-18.9.3	Name of Coding System
PID-18.9.4	Alternate Identifier
PID-18.9.5	Alternate Text
PID-18.9.6	Name of Alternate Coding System
PID-18.9.7	Coding System Version ID
PID-18.9.8	Alternate Coding System Version ID
PID-18.9.9	Original Text
PID-18.10	Assigning Agency or Department
PID-18.10.1	Identifier
PID-18.10.2	Text
PID-18.10.3	Name of Coding System
PID-18.10.4	Alternate Identifier
PID-18.10.5	Alternate Text
PID-18.10.6	Name of Alternate Coding System
PID-18.10.7	Coding System Version ID
PID-18.10.8	Alternate Coding System Version ID
PID-18.10.9	Original Text
PID-19	SSN Number - Patient
PID-20	Driver's License Number - Patient
PID-20.1	License Number
PID-20.2	Issuing State, Province, Country
PID-20.3	Expiration Date
PID-21	Mother's Identifier
PID-21.1	ID Number
PID-21.2	Check Digit
PID-21.3	Check Digit Scheme
PID-21.4	Assigning Authority
PID-21.4.1	Namespace ID
PID-21.4.2	Universal ID
PID-21.4.3	Universal ID Type
PID-21.5	Identifier Type Code
PID-21.6	Assigning Facility
PID-21.6.1	Namespace ID
PID-21.6.2	Universal ID
PID-21.6.3	Universal ID Type
PID-21.7	Effective Date
PID-21.8	Expiration Date
PID-21.9	Assigning Jurisdiction
PID-21.9.1	Identifier
PID-21.9.2	Text
PID-21.9.3	Name of Coding System
PID-21.9.4	Alternate Identifier
PID-21.9.5	Alternate Text
PID-21.9.6	Name of Alternate Coding System
PID-21.9.7	Coding System Version ID
PID-21.9.8	Alternate Coding System Version ID
PID-21.9.9	Original Text
PID-21.10	Assigning Agency or Department
PID-21.10.1	Identifier
PID-21.10.2	Text
PID-21.10.3	Name of Coding System
PID-21.10.4	Alternate Identifier
PID-21.10.5	Alternate Text
PID-21.10.6	Name of Alternate Coding System
PID-21.10.7	Coding System Version ID
PID-21.10.8	Alternate Coding System Version ID
PID-21.10.9	Original Text
PID-22	Ethnic Group
PID-22.1	Identifier
PID-22.2	Text
PID-22.3	Name of Coding System
PID-22.4	Alternate Identifier
PID-22.5	Alternate Text
PID-22.6	Name of Alternate Coding System
PID-23	Birth Place
PID-24	Multiple Birth Indicator
PID-25	Birth Order
PID-26	Citizenship
PID-26.1	Identifier
PID-26.2	Text
PID-26.3	Name of Coding System
PID-26.4	Alternate Identifier
PID-26.5	Alternate Text
PID-26.6	Name of Alternate Coding System
PID-27	Veterans Military Status
PID-27.1	Identifier
PID-27.2	Text
PID-27.3	Name of Coding System
PID-27.4	Alternate Identifier
PID-27.5	Alternate Text
PID-27.6	Name of Alternate Coding System
PID-28	Nationality
PID-28.1	Identifier
PID-28.2	Text
PID-28.3	Name of Coding System
PID-28.4	Alternate Identifier
PID-28.5	Alternate Text
PID-28.6	Name of Alternate Coding System
PID-29	Patient Death Date and Time
PID-29.1	Time
PID-29.2	Degree of Precision
PID-30	Patient Death Indicator	N
PID-31	Identity Unknown Indicator
PID-32	Identity Reliability Code
PID-33	Last Update Date/Time
PID-33.1	Time
PID-33.2	Degree of Precision
PID-34	Last Update Facility
PID-34.1	Namespace ID
PID-34.2	Universal ID
PID-34.3	Universal ID Type
PID-35	Species Code
PID-35.1	Identifier
PID-35.2	Text
PID-35.3	Name of Coding System
PID-35.4	Alternate Identifier
PID-35.5	Alternate Text
PID-35.6	Name of Alternate Coding System
PID-36	Breed Code
PID-36.1	Identifier
PID-36.2	Text
PID-36.3	Name of Coding System
PID-36.4	Alternate Identifier
PID-36.5	Alternate Text
PID-36.6	Name of Alternate Coding System
PID-37	Strain
PID-38	Production Class Code
PID-38.1	Identifier
PID-38.2	Text
PID-38.3	Name of Coding System
PID-38.4	Alternate Identifier
PID-38.5	Alternate Text
PID-38.6	Name of Alternate Coding System
PID-39	Tribal Citizenship
PID-39.1	Identifier
PID-39.2	Text
PID-39.3	Name of Coding System
PID-39.4	Alternate Identifier
PID-39.5	Alternate Text
PID-39.6	Name of Alternate Coding System
PID-39.7	Coding System Version ID
PID-39.8	Alternate Coding System Version ID
PID-39.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197023
ORC-3.2	Namespace ID	MyIIS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20090415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20090415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	45
RXA-5.2	Text	Hep B NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	45
OBX-5.2	Text	Hep B NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	207023
ORC-3.2	Namespace ID	MyIIS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20090515
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20090515
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	45
RXA-5.2	Text	Hep B NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	45
OBX-5.2	Text	Hep B NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	5
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	6
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	227023
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20091215
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20091215
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	45
RXA-5.2	Text	Hep B NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	45
OBX-5.2	Text	Hep B NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	5
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	6
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	317023
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19800415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19800415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	01
RXA-5.2	Text	DTP
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	7
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	4
OBX-5	Observation Value
OBX-5.1	Identifier	107
OBX-5.2	Text	DTAP NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	8
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	4
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	9
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	4
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197024
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19800615
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19800615
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	01
RXA-5.2	Text	DTP
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	7
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	5
OBX-5	Observation Value
OBX-5.1	Identifier	107
OBX-5.2	Text	DTAP NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	8
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	5
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	9
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	5
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197025
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19800815
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19800815
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	01
RXA-5.2	Text	DTP
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	7
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	6
OBX-5	Observation Value
OBX-5.1	Identifier	107
OBX-5.2	Text	DTAP NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	8
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	6
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	9
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	6
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197026
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19811115
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19811115
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	01
RXA-5.2	Text	DTP
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	7
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	7
OBX-5	Observation Value
OBX-5.1	Identifier	107
OBX-5.2	Text	DTAP NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	8
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	7
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	9
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	7
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197027
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19860415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19860415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	01
RXA-5.2	Text	DTP
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	7
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	8
OBX-5	Observation Value
OBX-5.1	Identifier	107
OBX-5.2	Text	DTAP NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	8
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	8
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	9
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	8
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197028
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19800415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19800415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	89
RXA-5.2	Text	polio NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	10
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	9
OBX-5	Observation Value
OBX-5.1	Identifier	89
OBX-5.2	Text	polio NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	11
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	9
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	12
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	9
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197029
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19800615
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19800615
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	89
RXA-5.2	Text	polio NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	13
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	10
OBX-5	Observation Value
OBX-5.1	Identifier	89
OBX-5.2	Text	polio NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	14
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	10
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	15
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	10
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197123
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19800910
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19800910
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	89
RXA-5.2	Text	polio NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	16
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	11
OBX-5	Observation Value
OBX-5.1	Identifier	89
OBX-5.2	Text	polio NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	17
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	11
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	18
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	11
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197223
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19860415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19860415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	89
RXA-5.2	Text	polio NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	19
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	12
OBX-5	Observation Value
OBX-5.1	Identifier	89
OBX-5.2	Text	polio NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	20
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	12
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	21
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	12
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197323
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20100415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20100415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	100
RXA-5.2	Text	PCV7
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	22
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	13
OBX-5	Observation Value
OBX-5.1	Identifier	109
OBX-5.2	Text	pnuemococcal conjugate
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	23
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	13
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	24
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	13
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197423
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20100415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20100415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	139
RXA-5.2	Text	Td NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	24
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	14
OBX-5	Observation Value
OBX-5.1	Identifier	139
OBX-5.2	Text	Td NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	25
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	14
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	26
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	14
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197523
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20091015
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20091015
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	88
RXA-5.2	Text	influenza NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	27
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	15
OBX-5	Observation Value
OBX-5.1	Identifier	88
OBX-5.2	Text	influenza NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	28
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	15
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	29
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	15
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197623
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20101015
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20101015
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	141
RXA-5.2	Text	influenza seasonal
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	30
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	16
OBX-5	Observation Value
OBX-5.1	Identifier	88
OBX-5.2	Text	influenza NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	31
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	16
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	32
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	16
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197027
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname	Pediatric
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	MARY
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix	MD
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier
ORC-17.2	Text
ORC-17.3	Name of Coding System
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20110901
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20110901
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	140
RXA-5.2	Text	seasonal flu
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	33
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	17
OBX-5	Observation Value
OBX-5.1	Identifier	88
OBX-5.2	Text	influenza NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	34
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	17
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	35
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	17
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier	887834
ORC-2.2	Namespace ID	MyIIS
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197723
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier
ORC-17.2	Text
ORC-17.3	Name of Coding System
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20150531
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20150531
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	998
RXA-5.2	Text	no vaccine admin
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier
RXA-9.2	Text
RXA-9.3	Name of Coding System
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	NA
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	36
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	18
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	37
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	18
OBX-5	Observation Value
OBX-5.1	Identifier	88
OBX-5.2	Text	influenza NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	38
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	30980-7
OBX-3.2	Text	Date vaccination due
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	18
OBX-5	Observation Value	20150531
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	39
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	30981-5
OBX-3.2	Text	Earliest Date
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	18
OBX-5	Observation Value	20150531
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	40
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	19
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	41
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	19
OBX-5	Observation Value
OBX-5.1	Identifier	03
OBX-5.2	Text	MMR
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	42
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	30980-7
OBX-3.2	Text	Date vaccination due
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	19
OBX-5	Observation Value	20150531
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	43
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	30981-5
OBX-3.2	Text	Earliest Date
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	19
OBX-5	Observation Value	20150531
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20150531
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

Juror Document

Evaluated Immunization History and Immunization Forecast
Test Case ID	Q R TC-1
Juror ID
Juror Name
HIT System Tested
Inspection Date/Time
Inspection Settlement	Pass Fail
Reason Failed
Juror Comments

DISPLAY VERIFICATION

This Test Case-specific Juror Document provides a checklist for the Tester to use during certification testing for assessing the EHR technology's ability to display required core data elements from the information received in the Evaluated Immunization History and Immunization Forecast Z42 message. Additional data from the message or from the EHR are permitted to be displayed by the EHR. Grayed-out fields in the Juror Document indicate where no data for the data element indicated were included in the Z42 message for the given Test Case.

The format of this Juror Document is for ease-of-use by the Tester and does not indicate how the EHR display must be designed.

The Evaluated Immunization History and Immunization Forecast data shown in this Juror Document are derived from the Z42 message provided with the given Test Case; equivalent data are permitted to be displayed by the EHR. The column headings are meant to convey the kind of data to be displayed; equivalent labels/column headings are permitted to be displayed by the EHR.

Patient Information
Patient Identifier	Patient Name	DOB	Gender	Tester Comment
12993456	Sally S Stanley	02/14/1980	Female
When displayed in the EHR with the Evaluated Immunization History and Immunization Forecast, these patient demographics data may be derived from either the received immunization message or the EHR patient record. When displaying demographics from the patient record, the EHR must be able to demonstrate a linkage between the demographics in the message (primarily the patient ID in PID-3.1) and the patient record used for display to ensure that the message was associated with the appropriate patient.

Evaluated Immunization History and Immunization Forecast

Immunization Schedule Used	Tester Comment
ACIP

Evaluated Immunization History
Vaccine Group	Vaccine Administered	Date Administered	Valid Dose	Validity Reason	Completion Status*	Tester Comment
Hep B NOS	Hep B NOS	04/15/2009	YES		Complete
Hep B NOS	Hep B NOS	05/15/2009	YES		Complete
Hep B NOS	Hep B NOS	12/15/2009	YES		Complete
DTAP NOS	DTP	04/15/1980	YES		Complete
DTAP NOS	DTP	06/15/1980	YES		Complete
DTAP NOS	DTP	08/15/1980	YES		Complete
DTAP NOS	DTP	11/15/1981	YES		Complete
DTAP NOS	DTP	04/15/1986	YES		Complete
polio NOS	polio NOS	04/15/1980	YES		Complete
polio NOS	polio NOS	06/15/1980	YES		Complete
polio NOS	polio NOS	09/10/1980	YES		Complete
polio NOS	polio NOS	04/15/1986	YES		Complete
pnuemococcal conjugate	PCV7	04/15/2010	YES		Complete
Td NOS	Td NOS	04/15/2010	YES		Complete
influenza NOS	influenza NOS	10/15/2009	YES		Complete
influenza NOS	influenza seasonal	10/15/2010	YES		Complete
influenza NOS	seasonal flu	09/01/2011	YES		Complete
* "Completion Status" refers to the status of the dose of vaccine administered on the indicated date and may be interpreted as "Dose Status". A status of "Complete" means that the vaccine dose was "completely administered" as opposed to "partially administered".

Immunization Forecast
Vaccine Group	Due Date	Earliest Date To Give	Latest Date to Give	Series Status	Forecast Reason	Tester Comment
influenza NOS	05/31/2015	05/31/2015
MMR	05/31/2015	05/31/2015

2.2. Q R TC-2

Adult with immunizations, including smallpox

Test Story

Description

This test requests an evaluated history and forecast for an adult with a small pox vaccination.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

The objective is to evaluate the ability of the EHR to gracefully handle an immunization with no validation and not forecast.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

2.2.1. Send query

No Description

Test Story

Description

No Description

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID	MyIIS
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	StatePH
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID	MYEHR
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	DCS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20141031145233-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	QBP
MSH-9.2	Trigger Event	Q11
MSH-9.3	Message Structure	QBP_Q11
MSH-10	Message Control ID	443533469
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER
MSH-16	Application Acknowledgment Type	AL
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z44
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	DCS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID	DCS
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code	XX
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier	6439432
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	StatePH
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier

QPD : Query Parameter Definition

Location	Data Elemenmt	Data	Categrization
QPD-1	Message Query Name
QPD-1.1	Identifier	Z44
QPD-1.2	Text	Request Evaluated History and Forecast
QPD-1.3	Name of Coding System	CDCPHINVS
QPD-1.4	Alternate Identifier
QPD-1.5	Alternate Text
QPD-1.6	Name of Alternate Coding System
QPD-2	Query Tag	37374859
QPD-3	PatientList
QPD-3.1	ID Number	123456
QPD-3.2	Check Digit
QPD-3.3	Check Digit Scheme
QPD-3.4	Assigning Authority
QPD-3.4.1	Namespace ID	MYEHR
QPD-3.4.2	Universal ID
QPD-3.4.3	Universal ID Type
QPD-3.5	Identifier Type Code	MR
QPD-3.6	Assigning Facility
QPD-3.6.1	Namespace ID
QPD-3.6.2	Universal ID
QPD-3.6.3	Universal ID Type
QPD-3.7	Effective Date
QPD-3.8	Expiration Date
QPD-3.9	Assigning Jurisdiction
QPD-3.9.1	Identifier
QPD-3.9.2	Text
QPD-3.9.3	Name of Coding System
QPD-3.9.4	Alternate Identifier
QPD-3.9.5	Alternate Text
QPD-3.9.6	Name of Alternate Coding System
QPD-3.9.7	Coding System Version ID
QPD-3.9.8	Alternate Coding System Version ID
QPD-3.9.9	Original Text
QPD-3.10	Assigning Agency or Department
QPD-3.10.1	Identifier
QPD-3.10.2	Text
QPD-3.10.3	Name of Coding System
QPD-3.10.4	Alternate Identifier
QPD-3.10.5	Alternate Text
QPD-3.10.6	Name of Alternate Coding System
QPD-3.10.7	Coding System Version ID
QPD-3.10.8	Alternate Coding System Version ID
QPD-3.10.9	Original Text
QPD-4	PatientName
QPD-4.1	Family Name
QPD-4.1.1	Surname	Stanley
QPD-4.1.2	Own Surname Prefix
QPD-4.1.3	Own Surname
QPD-4.1.4	Surname Prefix From Partner/Spouse
QPD-4.1.5	Surname From Partner/Spouse
QPD-4.2	Given Name	Clement
QPD-4.3	Second and Further Given Names or Initials Thereof	S
QPD-4.4	Suffix (e.g., JR or III)
QPD-4.5	Prefix (e.g., DR)
QPD-4.6	Degree (e.g., MD)
QPD-4.7	Name Type Code	L
QPD-4.8	Name Representation Code
QPD-4.9	Name Context
QPD-4.9.1	Identifier
QPD-4.9.2	Text
QPD-4.9.3	Name of Coding System
QPD-4.9.4	Alternate Identifier
QPD-4.9.5	Alternate Text
QPD-4.9.6	Name of Alternate Coding System
QPD-4.10	Name Validity Range
QPD-4.10.1	Range Start Date/Time
QPD-4.10.2	Range End Date/Time
QPD-4.11	Name Assembly Order
QPD-4.12	Effective Date
QPD-4.12.1	Time
QPD-4.12.2	Degree of Precision
QPD-4.13	Expiration Date
QPD-4.13.1	Time
QPD-4.13.2	Degree of Precision
QPD-4.14	Professional Suffix
QPD-5	PatientMotherMaidenName
QPD-5.1	Family Name
QPD-5.1.1	Surname	Smith
QPD-5.1.2	Own Surname Prefix
QPD-5.1.3	Own Surname
QPD-5.1.4	Surname Prefix From Partner/Spouse
QPD-5.1.5	Surname From Partner/Spouse
QPD-5.2	Given Name
QPD-5.3	Second and Further Given Names or Initials Thereof
QPD-5.4	Suffix (e.g., JR or III)
QPD-5.5	Prefix (e.g., DR)
QPD-5.6	Degree (e.g., MD)
QPD-5.7	Name Type Code
QPD-5.8	Name Representation Code
QPD-5.9	Name Context
QPD-5.9.1	Identifier
QPD-5.9.2	Text
QPD-5.9.3	Name of Coding System
QPD-5.9.4	Alternate Identifier
QPD-5.9.5	Alternate Text
QPD-5.9.6	Name of Alternate Coding System
QPD-5.10	Name Validity Range
QPD-5.10.1	Range Start Date/Time
QPD-5.10.2	Range End Date/Time
QPD-5.11	Name Assembly Order
QPD-5.12	Effective Date
QPD-5.12.1	Time
QPD-5.12.2	Degree of Precision
QPD-5.13	Expiration Date
QPD-5.13.1	Time
QPD-5.13.2	Degree of Precision
QPD-5.14	Professional Suffix
QPD-6	PatientDateOfBirth
QPD-6.1	Time	19500214
QPD-6.2	Degree of Precision
QPD-7	Patient Sex	M
QPD-8	Patient Address
QPD-8.1	Street Address
QPD-8.1.1	Street or Mailing Address	10 East Main St
QPD-8.1.2	Street Name
QPD-8.1.3	Dwelling Number
QPD-8.2	Other Designation
QPD-8.3	City	Titletown
QPD-8.4	State or Province	WI
QPD-8.5	Zip or Postal Code
QPD-8.6	Country
QPD-8.7	Address Type	L
QPD-8.8	Other Geographic Designation
QPD-8.9	County/Parish Code
QPD-8.10	Census Tract
QPD-8.11	Address Representation Code
QPD-8.12	Address Validity Range
QPD-8.12.1	Range Start Date/Time
QPD-8.12.2	Range End Date/Time
QPD-8.13	Effective Date
QPD-8.13.1	Time
QPD-8.13.2	Degree of Precision
QPD-8.14	Expiration Date
QPD-8.14.1	Time
QPD-8.14.2	Degree of Precision
QPD-9	Phone
QPD-9.1	Telephone Number
QPD-9.2	Telecommunication Use Code	PRN
QPD-9.3	Telecommunication Equipment Type	PH
QPD-9.4	Email Address
QPD-9.5	Country Code	1
QPD-9.6	Area/City Code	690
QPD-9.7	Local Number	1231234
QPD-9.8	Extension
QPD-9.9	Any Text
QPD-9.10	Extension Prefix
QPD-9.11	Speed Dial Code
QPD-9.12	Unformatted Telephone number
QPD-10	Multiple birth indicator
QPD-11	Birth order
QPD-12	Client last updated date
QPD-12.1	Time
QPD-12.2	Degree of Precision
QPD-13	Client last updated facility
QPD-13.1	Namespace ID
QPD-13.2	Universal ID
QPD-13.3	Universal ID Type

RCP : Response Control Parameter

Location	Data Elemenmt	Data	Categrization
RCP-1	Query Priority	I
RCP-2	Quantity Limited Request
RCP-2.1	Quantity
RCP-2.2	Units
RCP-2.2.1	Identifier
RCP-2.2.2	Text
RCP-2.2.3	Name of Coding System
RCP-2.2.4	Alternate Identifier
RCP-2.2.5	Alternate Text
RCP-2.2.6	Name of Alternate Coding System
RCP-3	Response Modality
RCP-3.1	Identifier
RCP-3.2	Text
RCP-3.3	Name of Coding System
RCP-3.4	Alternate Identifier
RCP-3.5	Alternate Text
RCP-3.6	Name of Alternate Coding System
RCP-4	Execution and Delivery Time
RCP-4.1	Time
RCP-4.2	Degree of Precision
RCP-5	Modify Indicator
RCP-6	Sort-by Field
RCP-6.1	Sort-by Field
RCP-6.2	Sequencing
RCP-7	Segment group inclusion

Test Data Specification

Patient Information

Element	Data
Patient Name	Clement S Stanley
Date/Time of Birth	02/14/1950
Sex	M
Patient Address	10 East Main St Titletown WI
Patient Phone	(690)123-1234

2.2.2. return response

return response to query for an adult with historical smallpox vaccination

Test Story

Description

Query is returned for Clement S Stanley. Clement has a number of historical dose records, including one for small pox. This vaccine is not validated and so has no dose validity. All other doses are valid. Mr. Stanley is due for a pneumococcal vaccine and an influenza vaccine.

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

Deomonstrate capability to receive a response file with a number of doses adminsitered, both current and historical. Also demonstrate capability to display a vaccination that is not validated.

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID	MyIIS
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	StatePH
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID	MYEHR
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	DCS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20141031145233-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	RSP
MSH-9.2	Trigger Event	K11
MSH-9.3	Message Structure	RSP_K11
MSH-10	Message Control ID	443533469
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z42
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	DCS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID	DCS
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code	XX
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier	6439432
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	StatePH
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AA
MSA-2	Message Control ID	793543
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

QAK : Query Acknowledgment

Location	Data Elemenmt	Data	Categrization
QAK-1	Query Tag	37374859
QAK-2	Query Response Status	OK
QAK-3	Message Query Name
QAK-3.1	Identifier	Z44
QAK-3.2	Text	request evaluated Immunization history
QAK-3.3	Name of Coding System	CDCPHINVS
QAK-3.4	Alternate Identifier
QAK-3.5	Alternate Text
QAK-3.6	Name of Alternate Coding System
QAK-4	Hit Count
QAK-5	This payload
QAK-6	Hits remaining

QPD : Query Parameter Definition

Location	Data Elemenmt	Data	Categrization
QPD-1	Message Query Name
QPD-1.1	Identifier	Z44
QPD-1.2	Text	Request Evaluated History and Forecast
QPD-1.3	Name of Coding System	CDCPHINVS
QPD-1.4	Alternate Identifier
QPD-1.5	Alternate Text
QPD-1.6	Name of Alternate Coding System
QPD-2	Query Tag	37374859
QPD-3	PatientList
QPD-3.1	ID Number	123456
QPD-3.2	Check Digit
QPD-3.3	Check Digit Scheme
QPD-3.4	Assigning Authority
QPD-3.4.1	Namespace ID	MYEHR
QPD-3.4.2	Universal ID
QPD-3.4.3	Universal ID Type
QPD-3.5	Identifier Type Code	MR
QPD-3.6	Assigning Facility
QPD-3.6.1	Namespace ID
QPD-3.6.2	Universal ID
QPD-3.6.3	Universal ID Type
QPD-3.7	Effective Date
QPD-3.8	Expiration Date
QPD-3.9	Assigning Jurisdiction
QPD-3.9.1	Identifier
QPD-3.9.2	Text
QPD-3.9.3	Name of Coding System
QPD-3.9.4	Alternate Identifier
QPD-3.9.5	Alternate Text
QPD-3.9.6	Name of Alternate Coding System
QPD-3.9.7	Coding System Version ID
QPD-3.9.8	Alternate Coding System Version ID
QPD-3.9.9	Original Text
QPD-3.10	Assigning Agency or Department
QPD-3.10.1	Identifier
QPD-3.10.2	Text
QPD-3.10.3	Name of Coding System
QPD-3.10.4	Alternate Identifier
QPD-3.10.5	Alternate Text
QPD-3.10.6	Name of Alternate Coding System
QPD-3.10.7	Coding System Version ID
QPD-3.10.8	Alternate Coding System Version ID
QPD-3.10.9	Original Text
QPD-4	PatientName
QPD-4.1	Family Name
QPD-4.1.1	Surname	Stanley
QPD-4.1.2	Own Surname Prefix
QPD-4.1.3	Own Surname
QPD-4.1.4	Surname Prefix From Partner/Spouse
QPD-4.1.5	Surname From Partner/Spouse
QPD-4.2	Given Name	Clement
QPD-4.3	Second and Further Given Names or Initials Thereof	S
QPD-4.4	Suffix (e.g., JR or III)
QPD-4.5	Prefix (e.g., DR)
QPD-4.6	Degree (e.g., MD)
QPD-4.7	Name Type Code	L
QPD-4.8	Name Representation Code
QPD-4.9	Name Context
QPD-4.9.1	Identifier
QPD-4.9.2	Text
QPD-4.9.3	Name of Coding System
QPD-4.9.4	Alternate Identifier
QPD-4.9.5	Alternate Text
QPD-4.9.6	Name of Alternate Coding System
QPD-4.10	Name Validity Range
QPD-4.10.1	Range Start Date/Time
QPD-4.10.2	Range End Date/Time
QPD-4.11	Name Assembly Order
QPD-4.12	Effective Date
QPD-4.12.1	Time
QPD-4.12.2	Degree of Precision
QPD-4.13	Expiration Date
QPD-4.13.1	Time
QPD-4.13.2	Degree of Precision
QPD-4.14	Professional Suffix
QPD-5	PatientMotherMaidenName
QPD-5.1	Family Name
QPD-5.1.1	Surname	Smith
QPD-5.1.2	Own Surname Prefix
QPD-5.1.3	Own Surname
QPD-5.1.4	Surname Prefix From Partner/Spouse
QPD-5.1.5	Surname From Partner/Spouse
QPD-5.2	Given Name
QPD-5.3	Second and Further Given Names or Initials Thereof
QPD-5.4	Suffix (e.g., JR or III)
QPD-5.5	Prefix (e.g., DR)
QPD-5.6	Degree (e.g., MD)
QPD-5.7	Name Type Code
QPD-5.8	Name Representation Code
QPD-5.9	Name Context
QPD-5.9.1	Identifier
QPD-5.9.2	Text
QPD-5.9.3	Name of Coding System
QPD-5.9.4	Alternate Identifier
QPD-5.9.5	Alternate Text
QPD-5.9.6	Name of Alternate Coding System
QPD-5.10	Name Validity Range
QPD-5.10.1	Range Start Date/Time
QPD-5.10.2	Range End Date/Time
QPD-5.11	Name Assembly Order
QPD-5.12	Effective Date
QPD-5.12.1	Time
QPD-5.12.2	Degree of Precision
QPD-5.13	Expiration Date
QPD-5.13.1	Time
QPD-5.13.2	Degree of Precision
QPD-5.14	Professional Suffix
QPD-6	PatientDateOfBirth
QPD-6.1	Time	19500214
QPD-6.2	Degree of Precision
QPD-7	Patient Sex	M
QPD-8	Patient Address
QPD-8.1	Street Address
QPD-8.1.1	Street or Mailing Address	10 East Main St
QPD-8.1.2	Street Name
QPD-8.1.3	Dwelling Number
QPD-8.2	Other Designation
QPD-8.3	City	Titletown
QPD-8.4	State or Province	WI
QPD-8.5	Zip or Postal Code
QPD-8.6	Country
QPD-8.7	Address Type	L
QPD-8.8	Other Geographic Designation
QPD-8.9	County/Parish Code
QPD-8.10	Census Tract
QPD-8.11	Address Representation Code
QPD-8.12	Address Validity Range
QPD-8.12.1	Range Start Date/Time
QPD-8.12.2	Range End Date/Time
QPD-8.13	Effective Date
QPD-8.13.1	Time
QPD-8.13.2	Degree of Precision
QPD-8.14	Expiration Date
QPD-8.14.1	Time
QPD-8.14.2	Degree of Precision
QPD-9	Phone
QPD-9.1	Telephone Number
QPD-9.2	Telecommunication Use Code	PRN
QPD-9.3	Telecommunication Equipment Type	PH
QPD-9.4	Email Address
QPD-9.5	Country Code	1
QPD-9.6	Area/City Code	690
QPD-9.7	Local Number	1231234
QPD-9.8	Extension
QPD-9.9	Any Text
QPD-9.10	Extension Prefix
QPD-9.11	Speed Dial Code
QPD-9.12	Unformatted Telephone number
QPD-10	Multiple birth indicator
QPD-11	Birth order
QPD-12	Client last updated date
QPD-12.1	Time
QPD-12.2	Degree of Precision
QPD-13	Client last updated facility
QPD-13.1	Namespace ID
QPD-13.2	Universal ID
QPD-13.3	Universal ID Type

PID : Patient Identification

Location	Data Elemenmt	Data	Categrization
PID-1	Set ID - PID	1
PID-2	Patient ID
PID-2.1	ID Number
PID-2.2	Check Digit
PID-2.3	Check Digit Scheme
PID-2.4	Assigning Authority
PID-2.4.1	Namespace ID
PID-2.4.2	Universal ID
PID-2.4.3	Universal ID Type
PID-2.5	Identifier Type Code
PID-2.6	Assigning Facility
PID-2.6.1	Namespace ID
PID-2.6.2	Universal ID
PID-2.6.3	Universal ID Type
PID-2.7	Effective Date
PID-2.8	Expiration Date
PID-2.9	Assigning Jurisdiction
PID-2.9.1	Identifier
PID-2.9.2	Text
PID-2.9.3	Name of Coding System
PID-2.9.4	Alternate Identifier
PID-2.9.5	Alternate Text
PID-2.9.6	Name of Alternate Coding System
PID-2.9.7	Coding System Version ID
PID-2.9.8	Alternate Coding System Version ID
PID-2.9.9	Original Text
PID-2.10	Assigning Agency or Department
PID-2.10.1	Identifier
PID-2.10.2	Text
PID-2.10.3	Name of Coding System
PID-2.10.4	Alternate Identifier
PID-2.10.5	Alternate Text
PID-2.10.6	Name of Alternate Coding System
PID-2.10.7	Coding System Version ID
PID-2.10.8	Alternate Coding System Version ID
PID-2.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	123456
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	MYEHR
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	MR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-3	Patient Identifier List
PID-3.1	ID Number	34500907
PID-3.2	Check Digit
PID-3.3	Check Digit Scheme
PID-3.4	Assigning Authority
PID-3.4.1	Namespace ID	MyIIS
PID-3.4.2	Universal ID
PID-3.4.3	Universal ID Type
PID-3.5	Identifier Type Code	SR
PID-3.6	Assigning Facility
PID-3.6.1	Namespace ID
PID-3.6.2	Universal ID
PID-3.6.3	Universal ID Type
PID-3.7	Effective Date
PID-3.8	Expiration Date
PID-3.9	Assigning Jurisdiction
PID-3.9.1	Identifier
PID-3.9.2	Text
PID-3.9.3	Name of Coding System
PID-3.9.4	Alternate Identifier
PID-3.9.5	Alternate Text
PID-3.9.6	Name of Alternate Coding System
PID-3.9.7	Coding System Version ID
PID-3.9.8	Alternate Coding System Version ID
PID-3.9.9	Original Text
PID-3.10	Assigning Agency or Department
PID-3.10.1	Identifier
PID-3.10.2	Text
PID-3.10.3	Name of Coding System
PID-3.10.4	Alternate Identifier
PID-3.10.5	Alternate Text
PID-3.10.6	Name of Alternate Coding System
PID-3.10.7	Coding System Version ID
PID-3.10.8	Alternate Coding System Version ID
PID-3.10.9	Original Text
PID-4	Alternate Patient ID - PID
PID-4.1	ID Number
PID-4.2	Check Digit
PID-4.3	Check Digit Scheme
PID-4.4	Assigning Authority
PID-4.4.1	Namespace ID
PID-4.4.2	Universal ID
PID-4.4.3	Universal ID Type
PID-4.5	Identifier Type Code
PID-4.6	Assigning Facility
PID-4.6.1	Namespace ID
PID-4.6.2	Universal ID
PID-4.6.3	Universal ID Type
PID-4.7	Effective Date
PID-4.8	Expiration Date
PID-4.9	Assigning Jurisdiction
PID-4.9.1	Identifier
PID-4.9.2	Text
PID-4.9.3	Name of Coding System
PID-4.9.4	Alternate Identifier
PID-4.9.5	Alternate Text
PID-4.9.6	Name of Alternate Coding System
PID-4.9.7	Coding System Version ID
PID-4.9.8	Alternate Coding System Version ID
PID-4.9.9	Original Text
PID-4.10	Assigning Agency or Department
PID-4.10.1	Identifier
PID-4.10.2	Text
PID-4.10.3	Name of Coding System
PID-4.10.4	Alternate Identifier
PID-4.10.5	Alternate Text
PID-4.10.6	Name of Alternate Coding System
PID-4.10.7	Coding System Version ID
PID-4.10.8	Alternate Coding System Version ID
PID-4.10.9	Original Text
PID-5	Patient Name
PID-5.1	Family Name
PID-5.1.1	Surname	Stanley
PID-5.1.2	Own Surname Prefix
PID-5.1.3	Own Surname
PID-5.1.4	Surname Prefix From Partner/Spouse
PID-5.1.5	Surname From Partner/Spouse
PID-5.2	Given Name	Clement
PID-5.3	Second and Further Given Names or Initials Thereof	S
PID-5.4	Suffix (e.g., JR or III)
PID-5.5	Prefix (e.g., DR)
PID-5.6	Degree (e.g., MD)
PID-5.7	Name Type Code	L
PID-5.8	Name Representation Code
PID-5.9	Name Context
PID-5.9.1	Identifier
PID-5.9.2	Text
PID-5.9.3	Name of Coding System
PID-5.9.4	Alternate Identifier
PID-5.9.5	Alternate Text
PID-5.9.6	Name of Alternate Coding System
PID-5.10	Name Validity Range
PID-5.10.1	Range Start Date/Time
PID-5.10.2	Range End Date/Time
PID-5.11	Name Assembly Order
PID-5.12	Effective Date
PID-5.12.1	Time
PID-5.12.2	Degree of Precision
PID-5.13	Expiration Date
PID-5.13.1	Time
PID-5.13.2	Degree of Precision
PID-5.14	Professional Suffix
PID-6	Mother's Maiden Name
PID-6.1	Family Name
PID-6.1.1	Surname
PID-6.1.2	Own Surname Prefix
PID-6.1.3	Own Surname
PID-6.1.4	Surname Prefix From Partner/Spouse
PID-6.1.5	Surname From Partner/Spouse
PID-6.2	Given Name
PID-6.3	Second and Further Given Names or Initials Thereof
PID-6.4	Suffix (e.g., JR or III)
PID-6.5	Prefix (e.g., DR)
PID-6.6	Degree (e.g., MD)
PID-6.7	Name Type Code
PID-6.8	Name Representation Code
PID-6.9	Name Context
PID-6.9.1	Identifier
PID-6.9.2	Text
PID-6.9.3	Name of Coding System
PID-6.9.4	Alternate Identifier
PID-6.9.5	Alternate Text
PID-6.9.6	Name of Alternate Coding System
PID-6.10	Name Validity Range
PID-6.10.1	Range Start Date/Time
PID-6.10.2	Range End Date/Time
PID-6.11	Name Assembly Order
PID-6.12	Effective Date
PID-6.12.1	Time
PID-6.12.2	Degree of Precision
PID-6.13	Expiration Date
PID-6.13.1	Time
PID-6.13.2	Degree of Precision
PID-6.14	Professional Suffix
PID-7	Date/Time of Birth
PID-7.1	Time	19500214
PID-7.2	Degree of Precision
PID-8	Administrative Sex	M
PID-9	Patient Alias
PID-9.1	Family Name
PID-9.1.1	Surname
PID-9.1.2	Own Surname Prefix
PID-9.1.3	Own Surname
PID-9.1.4	Surname Prefix From Partner/Spouse
PID-9.1.5	Surname From Partner/Spouse
PID-9.2	Given Name
PID-9.3	Second and Further Given Names or Initials Thereof
PID-9.4	Suffix (e.g., JR or III)
PID-9.5	Prefix (e.g., DR)
PID-9.6	Degree (e.g., MD)
PID-9.7	Name Type Code
PID-9.8	Name Representation Code
PID-9.9	Name Context
PID-9.9.1	Identifier
PID-9.9.2	Text
PID-9.9.3	Name of Coding System
PID-9.9.4	Alternate Identifier
PID-9.9.5	Alternate Text
PID-9.9.6	Name of Alternate Coding System
PID-9.10	Name Validity Range
PID-9.10.1	Range Start Date/Time
PID-9.10.2	Range End Date/Time
PID-9.11	Name Assembly Order
PID-9.12	Effective Date
PID-9.12.1	Time
PID-9.12.2	Degree of Precision
PID-9.13	Expiration Date
PID-9.13.1	Time
PID-9.13.2	Degree of Precision
PID-9.14	Professional Suffix
PID-10	Race
PID-10.1	Identifier
PID-10.2	Text
PID-10.3	Name of Coding System
PID-10.4	Alternate Identifier
PID-10.5	Alternate Text
PID-10.6	Name of Alternate Coding System
PID-11	Patient Address
PID-11.1	Street Address
PID-11.1.1	Street or Mailing Address	10 East Main St
PID-11.1.2	Street Name
PID-11.1.3	Dwelling Number
PID-11.2	Other Designation
PID-11.3	City	Titletown
PID-11.4	State or Province	WI
PID-11.5	Zip or Postal Code
PID-11.6	Country
PID-11.7	Address Type	L
PID-11.8	Other Geographic Designation
PID-11.9	County/Parish Code
PID-11.10	Census Tract
PID-11.11	Address Representation Code
PID-11.12	Address Validity Range
PID-11.12.1	Range Start Date/Time
PID-11.12.2	Range End Date/Time
PID-11.13	Effective Date
PID-11.13.1	Time
PID-11.13.2	Degree of Precision
PID-11.14	Expiration Date
PID-11.14.1	Time
PID-11.14.2	Degree of Precision
PID-12	County Code
PID-13	Phone Number - Home
PID-13.1	Telephone Number
PID-13.2	Telecommunication Use Code
PID-13.3	Telecommunication Equipment Type
PID-13.4	Email Address
PID-13.5	Country Code
PID-13.6	Area/City Code
PID-13.7	Local Number
PID-13.8	Extension
PID-13.9	Any Text
PID-13.10	Extension Prefix
PID-13.11	Speed Dial Code
PID-13.12	Unformatted Telephone number
PID-14	Phone Number - Business
PID-14.1	Telephone Number
PID-14.2	Telecommunication Use Code
PID-14.3	Telecommunication Equipment Type
PID-14.4	Email Address
PID-14.5	Country Code
PID-14.6	Area/City Code
PID-14.7	Local Number
PID-14.8	Extension
PID-14.9	Any Text
PID-14.10	Extension Prefix
PID-14.11	Speed Dial Code
PID-14.12	Unformatted Telephone number
PID-15	Primary Language
PID-15.1	Identifier
PID-15.2	Text
PID-15.3	Name of Coding System
PID-15.4	Alternate Identifier
PID-15.5	Alternate Text
PID-15.6	Name of Alternate Coding System
PID-16	Marital Status
PID-16.1	Identifier
PID-16.2	Text
PID-16.3	Name of Coding System
PID-16.4	Alternate Identifier
PID-16.5	Alternate Text
PID-16.6	Name of Alternate Coding System
PID-17	Religion
PID-17.1	Identifier
PID-17.2	Text
PID-17.3	Name of Coding System
PID-17.4	Alternate Identifier
PID-17.5	Alternate Text
PID-17.6	Name of Alternate Coding System
PID-18	Patient Account Number
PID-18.1	ID Number
PID-18.2	Check Digit
PID-18.3	Check Digit Scheme
PID-18.4	Assigning Authority
PID-18.4.1	Namespace ID
PID-18.4.2	Universal ID
PID-18.4.3	Universal ID Type
PID-18.5	Identifier Type Code
PID-18.6	Assigning Facility
PID-18.6.1	Namespace ID
PID-18.6.2	Universal ID
PID-18.6.3	Universal ID Type
PID-18.7	Effective Date
PID-18.8	Expiration Date
PID-18.9	Assigning Jurisdiction
PID-18.9.1	Identifier
PID-18.9.2	Text
PID-18.9.3	Name of Coding System
PID-18.9.4	Alternate Identifier
PID-18.9.5	Alternate Text
PID-18.9.6	Name of Alternate Coding System
PID-18.9.7	Coding System Version ID
PID-18.9.8	Alternate Coding System Version ID
PID-18.9.9	Original Text
PID-18.10	Assigning Agency or Department
PID-18.10.1	Identifier
PID-18.10.2	Text
PID-18.10.3	Name of Coding System
PID-18.10.4	Alternate Identifier
PID-18.10.5	Alternate Text
PID-18.10.6	Name of Alternate Coding System
PID-18.10.7	Coding System Version ID
PID-18.10.8	Alternate Coding System Version ID
PID-18.10.9	Original Text
PID-19	SSN Number - Patient
PID-20	Driver's License Number - Patient
PID-20.1	License Number
PID-20.2	Issuing State, Province, Country
PID-20.3	Expiration Date
PID-21	Mother's Identifier
PID-21.1	ID Number
PID-21.2	Check Digit
PID-21.3	Check Digit Scheme
PID-21.4	Assigning Authority
PID-21.4.1	Namespace ID
PID-21.4.2	Universal ID
PID-21.4.3	Universal ID Type
PID-21.5	Identifier Type Code
PID-21.6	Assigning Facility
PID-21.6.1	Namespace ID
PID-21.6.2	Universal ID
PID-21.6.3	Universal ID Type
PID-21.7	Effective Date
PID-21.8	Expiration Date
PID-21.9	Assigning Jurisdiction
PID-21.9.1	Identifier
PID-21.9.2	Text
PID-21.9.3	Name of Coding System
PID-21.9.4	Alternate Identifier
PID-21.9.5	Alternate Text
PID-21.9.6	Name of Alternate Coding System
PID-21.9.7	Coding System Version ID
PID-21.9.8	Alternate Coding System Version ID
PID-21.9.9	Original Text
PID-21.10	Assigning Agency or Department
PID-21.10.1	Identifier
PID-21.10.2	Text
PID-21.10.3	Name of Coding System
PID-21.10.4	Alternate Identifier
PID-21.10.5	Alternate Text
PID-21.10.6	Name of Alternate Coding System
PID-21.10.7	Coding System Version ID
PID-21.10.8	Alternate Coding System Version ID
PID-21.10.9	Original Text
PID-22	Ethnic Group
PID-22.1	Identifier
PID-22.2	Text
PID-22.3	Name of Coding System
PID-22.4	Alternate Identifier
PID-22.5	Alternate Text
PID-22.6	Name of Alternate Coding System
PID-23	Birth Place
PID-24	Multiple Birth Indicator
PID-25	Birth Order
PID-26	Citizenship
PID-26.1	Identifier
PID-26.2	Text
PID-26.3	Name of Coding System
PID-26.4	Alternate Identifier
PID-26.5	Alternate Text
PID-26.6	Name of Alternate Coding System
PID-27	Veterans Military Status
PID-27.1	Identifier
PID-27.2	Text
PID-27.3	Name of Coding System
PID-27.4	Alternate Identifier
PID-27.5	Alternate Text
PID-27.6	Name of Alternate Coding System
PID-28	Nationality
PID-28.1	Identifier
PID-28.2	Text
PID-28.3	Name of Coding System
PID-28.4	Alternate Identifier
PID-28.5	Alternate Text
PID-28.6	Name of Alternate Coding System
PID-29	Patient Death Date and Time
PID-29.1	Time
PID-29.2	Degree of Precision
PID-30	Patient Death Indicator
PID-31	Identity Unknown Indicator
PID-32	Identity Reliability Code
PID-33	Last Update Date/Time
PID-33.1	Time
PID-33.2	Degree of Precision
PID-34	Last Update Facility
PID-34.1	Namespace ID
PID-34.2	Universal ID
PID-34.3	Universal ID Type
PID-35	Species Code
PID-35.1	Identifier
PID-35.2	Text
PID-35.3	Name of Coding System
PID-35.4	Alternate Identifier
PID-35.5	Alternate Text
PID-35.6	Name of Alternate Coding System
PID-36	Breed Code
PID-36.1	Identifier
PID-36.2	Text
PID-36.3	Name of Coding System
PID-36.4	Alternate Identifier
PID-36.5	Alternate Text
PID-36.6	Name of Alternate Coding System
PID-37	Strain
PID-38	Production Class Code
PID-38.1	Identifier
PID-38.2	Text
PID-38.3	Name of Coding System
PID-38.4	Alternate Identifier
PID-38.5	Alternate Text
PID-38.6	Name of Alternate Coding System
PID-39	Tribal Citizenship
PID-39.1	Identifier
PID-39.2	Text
PID-39.3	Name of Coding System
PID-39.4	Alternate Identifier
PID-39.5	Alternate Text
PID-39.6	Name of Alternate Coding System
PID-39.7	Coding System Version ID
PID-39.8	Alternate Coding System Version ID
PID-39.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197023
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20090415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20090415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	31
RXA-5.2	Text	Hep B Peds NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	1
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	45
OBX-5.2	Text	Hep B NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	2
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	3
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	1
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	1970213
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20090515
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20090515
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	31
RXA-5.2	Text	Hep B Peds NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	4
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	45
OBX-5.2	Text	Hep B NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	5
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	6
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	2
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	1197023
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20091215
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20091215
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	31
RXA-5.2	Text	Hep B Peds NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	7
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	45
OBX-5.2	Text	Hep B NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	8
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	9
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	3
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	1972023
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19600415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19600415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	01
RXA-5.2	Text	DTP
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	10
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	4
OBX-5	Observation Value
OBX-5.1	Identifier	107
OBX-5.2	Text	DTAP NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	11
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	4
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	12
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	4
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	1973023
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19600415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19600415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	89
RXA-5.2	Text	polio NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	13
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	5
OBX-5	Observation Value
OBX-5.1	Identifier	89
OBX-5.2	Text	polio NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	14
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	5
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	15
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	5
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	19703423
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19600615
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19600615
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	89
RXA-5.2	Text	polio NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	16
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	6
OBX-5	Observation Value
OBX-5.1	Identifier	89
OBX-5.2	Text	polio NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	17
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	6
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	18
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	6
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	19722023
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19600910
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19600910
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	89
RXA-5.2	Text	polio NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	19
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	7
OBX-5	Observation Value
OBX-5.1	Identifier	89
OBX-5.2	Text	polio NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	20
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	7
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	21
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	7
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	19701223
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19610415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19610415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	89
RXA-5.2	Text	polio NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	22
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	8
OBX-5	Observation Value
OBX-5.1	Identifier	89
OBX-5.2	Text	polio NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	23
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	8
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	24
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	8
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	19557023
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	19520415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	19520415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	75
RXA-5.2	Text	vaccinia small pox
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	45197023
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20130415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20130415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	33
RXA-5.2	Text	pneumococcal ppv23
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	25
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	9
OBX-5	Observation Value
OBX-5.1	Identifier	33
OBX-5.2	Text	pneumococcal ppv23
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	26
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	9
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	27
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	9
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	19577023
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20090415
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20090415
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	139
RXA-5.2	Text	Td NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	28
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	10
OBX-5	Observation Value
OBX-5.1	Identifier	139
OBX-5.2	Text	Td NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	29
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	10
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	30
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	10
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	19799023
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20091015
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20091015
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	88
RXA-5.2	Text	influenza NOS
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	31
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	11
OBX-5	Observation Value
OBX-5.1	Identifier	88
OBX-5.2	Text	influenza NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	32
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	11
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	33
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	11
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	197789023
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20101015
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20101015
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	141
RXA-5.2	Text	influenza seasonal
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	01
RXA-9.2	Text	historical record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	34
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	12
OBX-5	Observation Value
OBX-5.1	Identifier	88
OBX-5.2	Text	influenza NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	35
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	12
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	36
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	12
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	193337027
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname	Pediatric
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name	MARY
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code	L
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix	MD
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier
ORC-17.2	Text
ORC-17.3	Name of Coding System
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20110901
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20110901
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	140
RXA-5.2	Text	seasonal flu
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	0.5
RXA-7	Administered Units
RXA-7.1	Identifier	mL
RXA-7.2	Text
RXA-7.3	Name of Coding System	UCUM
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier	00
RXA-9.2	Text	new immunization record
RXA-9.3	Name of Coding System	NIP001
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname	Sticker
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name	Nurse
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID	DCS_DC
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number	33k2a
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier	PMC
RXA-17.2	Text	sanofi
RXA-17.3	Name of Coding System	MVX
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	CP
RXA-21	Action Code - RXA	A
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

RXR : Pharmacy/Treatment Route

Location	Data Elemenmt	Data	Categrization
RXR-1	Route
RXR-1.1	Identifier	C28161
RXR-1.2	Text	IM
RXR-1.3	Name of Coding System	NCIT
RXR-1.4	Alternate Identifier
RXR-1.5	Alternate Text
RXR-1.6	Name of Alternate Coding System
RXR-2	Administration Site
RXR-2.1	Identifier
RXR-2.2	Text
RXR-2.3	Name of Coding System
RXR-2.4	Alternate Identifier
RXR-2.5	Alternate Text
RXR-2.6	Name of Alternate Coding System
RXR-2.7	Coding System Version ID
RXR-2.8	Alternate Coding System Version ID
RXR-2.9	Original Text
RXR-3	Administration Device
RXR-3.1	Identifier
RXR-3.2	Text
RXR-3.3	Name of Coding System
RXR-3.4	Alternate Identifier
RXR-3.5	Alternate Text
RXR-3.6	Name of Alternate Coding System
RXR-4	Administration Method
RXR-4.1	Identifier
RXR-4.2	Text
RXR-4.3	Name of Coding System
RXR-4.4	Alternate Identifier
RXR-4.5	Alternate Text
RXR-4.6	Name of Alternate Coding System
RXR-4.7	Coding System Version ID
RXR-4.8	Alternate Coding System Version ID
RXR-4.9	Original Text
RXR-5	Routing Instruction
RXR-5.1	Identifier
RXR-5.2	Text
RXR-5.3	Name of Coding System
RXR-5.4	Alternate Identifier
RXR-5.5	Alternate Text
RXR-5.6	Name of Alternate Coding System
RXR-6	Administration Site Modifier
RXR-6.1	Identifier
RXR-6.2	Text
RXR-6.3	Name of Coding System
RXR-6.4	Alternate Identifier
RXR-6.5	Alternate Text
RXR-6.6	Name of Alternate Coding System
RXR-6.7	Coding System Version ID
RXR-6.8	Alternate Coding System Version ID
RXR-6.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	37
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	13
OBX-5	Observation Value
OBX-5.1	Identifier	88
OBX-5.2	Text	influenza NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	38
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	13
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	39
OBX-2	Value Type	ID
OBX-3	Observation Identifier
OBX-3.1	Identifier	59781-5
OBX-3.2	Text	dose validity
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	13
OBX-5	Observation Value	Y
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time	20141031
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

ORC : Common Order

Location	Data Elemenmt	Data	Categrization
ORC-1	Order Control	RE
ORC-2	Placer Order Number
ORC-2.1	Entity Identifier
ORC-2.2	Namespace ID
ORC-2.3	Universal ID
ORC-2.4	Universal ID Type
ORC-3	Filler Order Number
ORC-3.1	Entity Identifier	19537023
ORC-3.2	Namespace ID	DCS
ORC-3.3	Universal ID
ORC-3.4	Universal ID Type
ORC-4	Placer Group Number
ORC-4.1	Entity Identifier
ORC-4.2	Namespace ID
ORC-4.3	Universal ID
ORC-4.4	Universal ID Type
ORC-5	Order Status
ORC-6	Response Flag
ORC-7	Quantity/Timing
ORC-7.1	Quantity
ORC-7.1.1	Quantity
ORC-7.1.2	Units
ORC-7.2	Interval
ORC-7.2.1	Repeat Pattern
ORC-7.2.2	Explicit Time Interval
ORC-7.3	Duration
ORC-7.4	Start Date/Time
ORC-7.4.1	Time
ORC-7.4.2	Degree of Precision
ORC-7.5	End Date/Time
ORC-7.5.1	Time
ORC-7.5.2	Degree of Precision
ORC-7.6	Priority
ORC-7.7	Condition
ORC-7.8	Text
ORC-7.9	Conjunction
ORC-7.10	Order Sequencing
ORC-7.10.1	Sequence/Results Flag
ORC-7.10.2	Placer Order Number: Entity Identifier
ORC-7.10.3	Placer Order Number: Namespace ID
ORC-7.10.4	Filler Order Number: Entity Identifier
ORC-7.10.5	Filler Order Number: Namespace ID
ORC-7.10.6	Sequence Condition Value
ORC-7.10.7	Maximum Number of Repeats
ORC-7.10.8	Placer Order Number: Universal ID
ORC-7.10.9	Placer Order Number: Universal ID Type
ORC-7.10.10	Filler Order Number: Universal ID
ORC-7.10.11	Filler Order Number: Universal ID Type
ORC-7.11	Occurrence Duration
ORC-7.11.1	Identifier
ORC-7.11.2	Text
ORC-7.11.3	Name of Coding System
ORC-7.11.4	Alternate Identifier
ORC-7.11.5	Alternate Text
ORC-7.11.6	Name of Alternate Coding System
ORC-7.12	Total Occurrences
ORC-8	Parent
ORC-8.1	Placer Assigned Identifier
ORC-8.1.1	Entity Identifier
ORC-8.1.2	Namespace ID
ORC-8.1.3	Universal ID
ORC-8.1.4	Universal ID Type
ORC-8.2	Filler Assigned Identifier
ORC-8.2.1	Entity Identifier
ORC-8.2.2	Namespace ID
ORC-8.2.3	Universal ID
ORC-8.2.4	Universal ID Type
ORC-9	Date/Time of Transaction
ORC-9.1	Time
ORC-9.2	Degree of Precision
ORC-10	Entered By
ORC-10.1	ID Number
ORC-10.2	Family Name
ORC-10.2.1	Surname	Clerk
ORC-10.2.2	Own Surname Prefix
ORC-10.2.3	Own Surname
ORC-10.2.4	Surname Prefix From Partner/Spouse
ORC-10.2.5	Surname From Partner/Spouse
ORC-10.3	Given Name	Myron
ORC-10.4	Second and Further Given Names or Initials Thereof
ORC-10.5	Suffix (e.g., JR or III)
ORC-10.6	Prefix (e.g., DR)
ORC-10.7	Degree (e.g., MD)
ORC-10.8	Source Table
ORC-10.9	Assigning Authority
ORC-10.9.1	Namespace ID
ORC-10.9.2	Universal ID
ORC-10.9.3	Universal ID Type
ORC-10.10	Name Type Code
ORC-10.11	Identifier Check Digit
ORC-10.12	Check Digit Scheme
ORC-10.13	Identifier Type Code
ORC-10.14	Assigning Facility
ORC-10.14.1	Namespace ID
ORC-10.14.2	Universal ID
ORC-10.14.3	Universal ID Type
ORC-10.15	Name Representation Code
ORC-10.16	Name Context
ORC-10.16.1	Identifier
ORC-10.16.2	Text
ORC-10.16.3	Name of Coding System
ORC-10.16.4	Alternate Identifier
ORC-10.16.5	Alternate Text
ORC-10.16.6	Name of Alternate Coding System
ORC-10.17	Name Validity Range
ORC-10.17.1	Range Start Date/Time
ORC-10.17.2	Range End Date/Time
ORC-10.18	Name Assembly Order
ORC-10.19	Effective Date
ORC-10.19.1	Time
ORC-10.19.2	Degree of Precision
ORC-10.20	Expiration Date
ORC-10.20.1	Time
ORC-10.20.2	Degree of Precision
ORC-10.21	Professional Suffix
ORC-10.22	Assigning Jurisdiction
ORC-10.22.1	Identifier
ORC-10.22.2	Text
ORC-10.22.3	Name of Coding System
ORC-10.22.4	Alternate Identifier
ORC-10.22.5	Alternate Text
ORC-10.22.6	Name of Alternate Coding System
ORC-10.22.7	Coding System Version ID
ORC-10.22.8	Alternate Coding System Version ID
ORC-10.22.9	Original Text
ORC-10.23	Assigning Agency or Department
ORC-10.23.1	Identifier
ORC-10.23.2	Text
ORC-10.23.3	Name of Coding System
ORC-10.23.4	Alternate Identifier
ORC-10.23.5	Alternate Text
ORC-10.23.6	Name of Alternate Coding System
ORC-10.23.7	Coding System Version ID
ORC-10.23.8	Alternate Coding System Version ID
ORC-10.23.9	Original Text
ORC-11	Verified By
ORC-11.1	ID Number
ORC-11.2	Family Name
ORC-11.2.1	Surname
ORC-11.2.2	Own Surname Prefix
ORC-11.2.3	Own Surname
ORC-11.2.4	Surname Prefix From Partner/Spouse
ORC-11.2.5	Surname From Partner/Spouse
ORC-11.3	Given Name
ORC-11.4	Second and Further Given Names or Initials Thereof
ORC-11.5	Suffix (e.g., JR or III)
ORC-11.6	Prefix (e.g., DR)
ORC-11.7	Degree (e.g., MD)
ORC-11.8	Source Table
ORC-11.9	Assigning Authority
ORC-11.9.1	Namespace ID
ORC-11.9.2	Universal ID
ORC-11.9.3	Universal ID Type
ORC-11.10	Name Type Code
ORC-11.11	Identifier Check Digit
ORC-11.12	Check Digit Scheme
ORC-11.13	Identifier Type Code
ORC-11.14	Assigning Facility
ORC-11.14.1	Namespace ID
ORC-11.14.2	Universal ID
ORC-11.14.3	Universal ID Type
ORC-11.15	Name Representation Code
ORC-11.16	Name Context
ORC-11.16.1	Identifier
ORC-11.16.2	Text
ORC-11.16.3	Name of Coding System
ORC-11.16.4	Alternate Identifier
ORC-11.16.5	Alternate Text
ORC-11.16.6	Name of Alternate Coding System
ORC-11.17	Name Validity Range
ORC-11.17.1	Range Start Date/Time
ORC-11.17.2	Range End Date/Time
ORC-11.18	Name Assembly Order
ORC-11.19	Effective Date
ORC-11.19.1	Time
ORC-11.19.2	Degree of Precision
ORC-11.20	Expiration Date
ORC-11.20.1	Time
ORC-11.20.2	Degree of Precision
ORC-11.21	Professional Suffix
ORC-11.22	Assigning Jurisdiction
ORC-11.22.1	Identifier
ORC-11.22.2	Text
ORC-11.22.3	Name of Coding System
ORC-11.22.4	Alternate Identifier
ORC-11.22.5	Alternate Text
ORC-11.22.6	Name of Alternate Coding System
ORC-11.22.7	Coding System Version ID
ORC-11.22.8	Alternate Coding System Version ID
ORC-11.22.9	Original Text
ORC-11.23	Assigning Agency or Department
ORC-11.23.1	Identifier
ORC-11.23.2	Text
ORC-11.23.3	Name of Coding System
ORC-11.23.4	Alternate Identifier
ORC-11.23.5	Alternate Text
ORC-11.23.6	Name of Alternate Coding System
ORC-11.23.7	Coding System Version ID
ORC-11.23.8	Alternate Coding System Version ID
ORC-11.23.9	Original Text
ORC-12	Ordering Provider
ORC-12.1	ID Number
ORC-12.2	Family Name
ORC-12.2.1	Surname
ORC-12.2.2	Own Surname Prefix
ORC-12.2.3	Own Surname
ORC-12.2.4	Surname Prefix From Partner/Spouse
ORC-12.2.5	Surname From Partner/Spouse
ORC-12.3	Given Name
ORC-12.4	Second and Further Given Names or Initials Thereof
ORC-12.5	Suffix (e.g., JR or III)
ORC-12.6	Prefix (e.g., DR)
ORC-12.7	Degree (e.g., MD)
ORC-12.8	Source Table
ORC-12.9	Assigning Authority
ORC-12.9.1	Namespace ID
ORC-12.9.2	Universal ID
ORC-12.9.3	Universal ID Type
ORC-12.10	Name Type Code
ORC-12.11	Identifier Check Digit
ORC-12.12	Check Digit Scheme
ORC-12.13	Identifier Type Code
ORC-12.14	Assigning Facility
ORC-12.14.1	Namespace ID
ORC-12.14.2	Universal ID
ORC-12.14.3	Universal ID Type
ORC-12.15	Name Representation Code
ORC-12.16	Name Context
ORC-12.16.1	Identifier
ORC-12.16.2	Text
ORC-12.16.3	Name of Coding System
ORC-12.16.4	Alternate Identifier
ORC-12.16.5	Alternate Text
ORC-12.16.6	Name of Alternate Coding System
ORC-12.17	Name Validity Range
ORC-12.17.1	Range Start Date/Time
ORC-12.17.2	Range End Date/Time
ORC-12.18	Name Assembly Order
ORC-12.19	Effective Date
ORC-12.19.1	Time
ORC-12.19.2	Degree of Precision
ORC-12.20	Expiration Date
ORC-12.20.1	Time
ORC-12.20.2	Degree of Precision
ORC-12.21	Professional Suffix
ORC-12.22	Assigning Jurisdiction
ORC-12.22.1	Identifier
ORC-12.22.2	Text
ORC-12.22.3	Name of Coding System
ORC-12.22.4	Alternate Identifier
ORC-12.22.5	Alternate Text
ORC-12.22.6	Name of Alternate Coding System
ORC-12.22.7	Coding System Version ID
ORC-12.22.8	Alternate Coding System Version ID
ORC-12.22.9	Original Text
ORC-12.23	Assigning Agency or Department
ORC-12.23.1	Identifier
ORC-12.23.2	Text
ORC-12.23.3	Name of Coding System
ORC-12.23.4	Alternate Identifier
ORC-12.23.5	Alternate Text
ORC-12.23.6	Name of Alternate Coding System
ORC-12.23.7	Coding System Version ID
ORC-12.23.8	Alternate Coding System Version ID
ORC-12.23.9	Original Text
ORC-13	Enterer's Location
ORC-13.1	Point of Care
ORC-13.2	Room
ORC-13.3	Bed
ORC-13.4	Facility
ORC-13.4.1	Namespace ID
ORC-13.4.2	Universal ID
ORC-13.4.3	Universal ID Type
ORC-13.5	Location Status
ORC-13.6	Person Location Type
ORC-13.7	Building
ORC-13.8	Floor
ORC-13.9	Location Description
ORC-13.10	Comprehensive Location Identifier
ORC-13.10.1	Entity Identifier
ORC-13.10.2	Namespace ID
ORC-13.10.3	Universal ID
ORC-13.10.4	Universal ID Type
ORC-13.11	Assigning Authority for Location
ORC-13.11.1	Namespace ID
ORC-13.11.2	Universal ID
ORC-13.11.3	Universal ID Type
ORC-14	Call Back Phone Number
ORC-14.1	Telephone Number
ORC-14.2	Telecommunication Use Code
ORC-14.3	Telecommunication Equipment Type
ORC-14.4	Email Address
ORC-14.5	Country Code
ORC-14.6	Area/City Code
ORC-14.7	Local Number
ORC-14.8	Extension
ORC-14.9	Any Text
ORC-14.10	Extension Prefix
ORC-14.11	Speed Dial Code
ORC-14.12	Unformatted Telephone number
ORC-15	Order Effective Date/Time
ORC-15.1	Time
ORC-15.2	Degree of Precision
ORC-16	Order Control Code Reason
ORC-16.1	Identifier
ORC-16.2	Text
ORC-16.3	Name of Coding System
ORC-16.4	Alternate Identifier
ORC-16.5	Alternate Text
ORC-16.6	Name of Alternate Coding System
ORC-17	Entering Organization
ORC-17.1	Identifier	DCS
ORC-17.2	Text	Dabig Clinical System
ORC-17.3	Name of Coding System	StateIIS
ORC-17.4	Alternate Identifier
ORC-17.5	Alternate Text
ORC-17.6	Name of Alternate Coding System
ORC-18	Entering Device
ORC-18.1	Identifier
ORC-18.2	Text
ORC-18.3	Name of Coding System
ORC-18.4	Alternate Identifier
ORC-18.5	Alternate Text
ORC-18.6	Name of Alternate Coding System
ORC-19	Action By
ORC-19.1	ID Number
ORC-19.2	Family Name
ORC-19.2.1	Surname
ORC-19.2.2	Own Surname Prefix
ORC-19.2.3	Own Surname
ORC-19.2.4	Surname Prefix From Partner/Spouse
ORC-19.2.5	Surname From Partner/Spouse
ORC-19.3	Given Name
ORC-19.4	Second and Further Given Names or Initials Thereof
ORC-19.5	Suffix (e.g., JR or III)
ORC-19.6	Prefix (e.g., DR)
ORC-19.7	Degree (e.g., MD)
ORC-19.8	Source Table
ORC-19.9	Assigning Authority
ORC-19.9.1	Namespace ID
ORC-19.9.2	Universal ID
ORC-19.9.3	Universal ID Type
ORC-19.10	Name Type Code
ORC-19.11	Identifier Check Digit
ORC-19.12	Check Digit Scheme
ORC-19.13	Identifier Type Code
ORC-19.14	Assigning Facility
ORC-19.14.1	Namespace ID
ORC-19.14.2	Universal ID
ORC-19.14.3	Universal ID Type
ORC-19.15	Name Representation Code
ORC-19.16	Name Context
ORC-19.16.1	Identifier
ORC-19.16.2	Text
ORC-19.16.3	Name of Coding System
ORC-19.16.4	Alternate Identifier
ORC-19.16.5	Alternate Text
ORC-19.16.6	Name of Alternate Coding System
ORC-19.17	Name Validity Range
ORC-19.17.1	Range Start Date/Time
ORC-19.17.2	Range End Date/Time
ORC-19.18	Name Assembly Order
ORC-19.19	Effective Date
ORC-19.19.1	Time
ORC-19.19.2	Degree of Precision
ORC-19.20	Expiration Date
ORC-19.20.1	Time
ORC-19.20.2	Degree of Precision
ORC-19.21	Professional Suffix
ORC-19.22	Assigning Jurisdiction
ORC-19.22.1	Identifier
ORC-19.22.2	Text
ORC-19.22.3	Name of Coding System
ORC-19.22.4	Alternate Identifier
ORC-19.22.5	Alternate Text
ORC-19.22.6	Name of Alternate Coding System
ORC-19.22.7	Coding System Version ID
ORC-19.22.8	Alternate Coding System Version ID
ORC-19.22.9	Original Text
ORC-19.23	Assigning Agency or Department
ORC-19.23.1	Identifier
ORC-19.23.2	Text
ORC-19.23.3	Name of Coding System
ORC-19.23.4	Alternate Identifier
ORC-19.23.5	Alternate Text
ORC-19.23.6	Name of Alternate Coding System
ORC-19.23.7	Coding System Version ID
ORC-19.23.8	Alternate Coding System Version ID
ORC-19.23.9	Original Text
ORC-20	Advanced Beneficiary Notice Code
ORC-20.1	Identifier
ORC-20.2	Text
ORC-20.3	Name of Coding System
ORC-20.4	Alternate Identifier
ORC-20.5	Alternate Text
ORC-20.6	Name of Alternate Coding System
ORC-21	Ordering Facility Name
ORC-21.1	Organization Name
ORC-21.2	Organization Name Type Code
ORC-21.3	ID Number
ORC-21.4	Check Digit
ORC-21.5	Check Digit Scheme
ORC-21.6	Assigning Authority
ORC-21.6.1	Namespace ID
ORC-21.6.2	Universal ID
ORC-21.6.3	Universal ID Type
ORC-21.7	Identifier Type Code
ORC-21.8	Assigning Facility
ORC-21.8.1	Namespace ID
ORC-21.8.2	Universal ID
ORC-21.8.3	Universal ID Type
ORC-21.9	Name Representation Code
ORC-21.10	Organization Identifier
ORC-22	Ordering Facility Address
ORC-22.1	Street Address
ORC-22.1.1	Street or Mailing Address
ORC-22.1.2	Street Name
ORC-22.1.3	Dwelling Number
ORC-22.2	Other Designation
ORC-22.3	City
ORC-22.4	State or Province
ORC-22.5	Zip or Postal Code
ORC-22.6	Country
ORC-22.7	Address Type
ORC-22.8	Other Geographic Designation
ORC-22.9	County/Parish Code
ORC-22.10	Census Tract
ORC-22.11	Address Representation Code
ORC-22.12	Address Validity Range
ORC-22.12.1	Range Start Date/Time
ORC-22.12.2	Range End Date/Time
ORC-22.13	Effective Date
ORC-22.13.1	Time
ORC-22.13.2	Degree of Precision
ORC-22.14	Expiration Date
ORC-22.14.1	Time
ORC-22.14.2	Degree of Precision
ORC-23	Ordering Facility Phone Number
ORC-23.1	Telephone Number
ORC-23.2	Telecommunication Use Code
ORC-23.3	Telecommunication Equipment Type
ORC-23.4	Email Address
ORC-23.5	Country Code
ORC-23.6	Area/City Code
ORC-23.7	Local Number
ORC-23.8	Extension
ORC-23.9	Any Text
ORC-23.10	Extension Prefix
ORC-23.11	Speed Dial Code
ORC-23.12	Unformatted Telephone number
ORC-24	Ordering Provider Address
ORC-24.1	Street Address
ORC-24.1.1	Street or Mailing Address
ORC-24.1.2	Street Name
ORC-24.1.3	Dwelling Number
ORC-24.2	Other Designation
ORC-24.3	City
ORC-24.4	State or Province
ORC-24.5	Zip or Postal Code
ORC-24.6	Country
ORC-24.7	Address Type
ORC-24.8	Other Geographic Designation
ORC-24.9	County/Parish Code
ORC-24.10	Census Tract
ORC-24.11	Address Representation Code
ORC-24.12	Address Validity Range
ORC-24.12.1	Range Start Date/Time
ORC-24.12.2	Range End Date/Time
ORC-24.13	Effective Date
ORC-24.13.1	Time
ORC-24.13.2	Degree of Precision
ORC-24.14	Expiration Date
ORC-24.14.1	Time
ORC-24.14.2	Degree of Precision
ORC-25	Order Status Modifier
ORC-25.1	Identifier
ORC-25.2	Text
ORC-25.3	Name of Coding System
ORC-25.4	Alternate Identifier
ORC-25.5	Alternate Text
ORC-25.6	Name of Alternate Coding System
ORC-25.7	Coding System Version ID
ORC-25.8	Alternate Coding System Version ID
ORC-25.9	Original Text
ORC-26	Advanced Beneficiary Notice Override Reason
ORC-26.1	Identifier
ORC-26.2	Text
ORC-26.3	Name of Coding System
ORC-26.4	Alternate Identifier
ORC-26.5	Alternate Text
ORC-26.6	Name of Alternate Coding System
ORC-26.7	Coding System Version ID
ORC-26.8	Alternate Coding System Version ID
ORC-26.9	Original Text
ORC-27	Filler's Expected Availability Date/Time
ORC-27.1	Time
ORC-27.2	Degree of Precision
ORC-28	Confidentiality Code
ORC-28.1	Identifier
ORC-28.2	Text
ORC-28.3	Name of Coding System
ORC-28.4	Alternate Identifier
ORC-28.5	Alternate Text
ORC-28.6	Name of Alternate Coding System
ORC-28.7	Coding System Version ID
ORC-28.8	Alternate Coding System Version ID
ORC-28.9	Original Text
ORC-29	Order Type
ORC-29.1	Identifier
ORC-29.2	Text
ORC-29.3	Name of Coding System
ORC-29.4	Alternate Identifier
ORC-29.5	Alternate Text
ORC-29.6	Name of Alternate Coding System
ORC-29.7	Coding System Version ID
ORC-29.8	Alternate Coding System Version ID
ORC-29.9	Original Text
ORC-30	Enterer Authorization Mode
ORC-30.1	Identifier
ORC-30.2	Text
ORC-30.3	Name of Coding System
ORC-30.4	Alternate Identifier
ORC-30.5	Alternate Text
ORC-30.6	Name of Alternate Coding System
ORC-30.7	Coding System Version ID
ORC-30.8	Alternate Coding System Version ID
ORC-30.9	Original Text
ORC-31	Parent Universal Service Identifier
ORC-31.1	Identifier
ORC-31.2	Text
ORC-31.3	Name of Coding System
ORC-31.4	Alternate Identifier
ORC-31.5	Alternate Text
ORC-31.6	Name of Alternate Coding System
ORC-31.7	Coding System Version ID
ORC-31.8	Alternate Coding System Version ID
ORC-31.9	Original Text

RXA : Pharmacy/Treatment Administration

Location	Data Elemenmt	Data	Categrization
RXA-1	Give Sub-ID Counter	0
RXA-2	Administration Sub-ID Counter	1
RXA-3	Date/Time Start of Administration
RXA-3.1	Time	20141031
RXA-3.2	Degree of Precision
RXA-4	Date/Time End of Administration
RXA-4.1	Time	20141031
RXA-4.2	Degree of Precision
RXA-5	Administered Code
RXA-5.1	Identifier	998
RXA-5.2	Text	no vaccine admin
RXA-5.3	Name of Coding System	CVX
RXA-5.4	Alternate Identifier
RXA-5.5	Alternate Text
RXA-5.6	Name of Alternate Coding System
RXA-6	Administered Amount	999
RXA-7	Administered Units
RXA-7.1	Identifier
RXA-7.2	Text
RXA-7.3	Name of Coding System
RXA-7.4	Alternate Identifier
RXA-7.5	Alternate Text
RXA-7.6	Name of Alternate Coding System
RXA-8	Administered Dosage Form
RXA-8.1	Identifier
RXA-8.2	Text
RXA-8.3	Name of Coding System
RXA-8.4	Alternate Identifier
RXA-8.5	Alternate Text
RXA-8.6	Name of Alternate Coding System
RXA-9	Administration Notes
RXA-9.1	Identifier
RXA-9.2	Text
RXA-9.3	Name of Coding System
RXA-9.4	Alternate Identifier
RXA-9.5	Alternate Text
RXA-9.6	Name of Alternate Coding System
RXA-10	Administering Provider
RXA-10.1	ID Number
RXA-10.2	Family Name
RXA-10.2.1	Surname
RXA-10.2.2	Own Surname Prefix
RXA-10.2.3	Own Surname
RXA-10.2.4	Surname Prefix From Partner/Spouse
RXA-10.2.5	Surname From Partner/Spouse
RXA-10.3	Given Name
RXA-10.4	Second and Further Given Names or Initials Thereof
RXA-10.5	Suffix (e.g., JR or III)
RXA-10.6	Prefix (e.g., DR)
RXA-10.7	Degree (e.g., MD)
RXA-10.8	Source Table
RXA-10.9	Assigning Authority
RXA-10.9.1	Namespace ID
RXA-10.9.2	Universal ID
RXA-10.9.3	Universal ID Type
RXA-10.10	Name Type Code
RXA-10.11	Identifier Check Digit
RXA-10.12	Check Digit Scheme
RXA-10.13	Identifier Type Code
RXA-10.14	Assigning Facility
RXA-10.14.1	Namespace ID
RXA-10.14.2	Universal ID
RXA-10.14.3	Universal ID Type
RXA-10.15	Name Representation Code
RXA-10.16	Name Context
RXA-10.16.1	Identifier
RXA-10.16.2	Text
RXA-10.16.3	Name of Coding System
RXA-10.16.4	Alternate Identifier
RXA-10.16.5	Alternate Text
RXA-10.16.6	Name of Alternate Coding System
RXA-10.17	Name Validity Range
RXA-10.17.1	Range Start Date/Time
RXA-10.17.2	Range End Date/Time
RXA-10.18	Name Assembly Order
RXA-10.19	Effective Date
RXA-10.19.1	Time
RXA-10.19.2	Degree of Precision
RXA-10.20	Expiration Date
RXA-10.20.1	Time
RXA-10.20.2	Degree of Precision
RXA-10.21	Professional Suffix
RXA-10.22	Assigning Jurisdiction
RXA-10.22.1	Identifier
RXA-10.22.2	Text
RXA-10.22.3	Name of Coding System
RXA-10.22.4	Alternate Identifier
RXA-10.22.5	Alternate Text
RXA-10.22.6	Name of Alternate Coding System
RXA-10.22.7	Coding System Version ID
RXA-10.22.8	Alternate Coding System Version ID
RXA-10.22.9	Original Text
RXA-10.23	Assigning Agency or Department
RXA-10.23.1	Identifier
RXA-10.23.2	Text
RXA-10.23.3	Name of Coding System
RXA-10.23.4	Alternate Identifier
RXA-10.23.5	Alternate Text
RXA-10.23.6	Name of Alternate Coding System
RXA-10.23.7	Coding System Version ID
RXA-10.23.8	Alternate Coding System Version ID
RXA-10.23.9	Original Text
RXA-11	Administered-at Location
RXA-11.1	Point of Care
RXA-11.2	Room
RXA-11.3	Bed
RXA-11.4	Facility
RXA-11.4.1	Namespace ID
RXA-11.4.2	Universal ID
RXA-11.4.3	Universal ID Type
RXA-11.5	Location Status
RXA-11.6	Patient Location Type
RXA-11.7	Building
RXA-11.8	Floor
RXA-11.9	Street Address
RXA-11.10	Other Designation
RXA-11.11	City
RXA-11.12	State or Province
RXA-11.13	Zip or Postal Code
RXA-11.14	Country
RXA-11.15	Address Type
RXA-11.16	Other Geographic Designation
RXA-12	Administered Per (Time Unit)
RXA-13	Administered Strength
RXA-14	Administered Strength Units
RXA-14.1	Identifier
RXA-14.2	Text
RXA-14.3	Name of Coding System
RXA-14.4	Alternate Identifier
RXA-14.5	Alternate Text
RXA-14.6	Name of Alternate Coding System
RXA-15	Substance Lot Number
RXA-16	Substance Expiration Date
RXA-16.1	Time
RXA-16.2	Degree of Precision
RXA-17	Substance Manufacturer Name
RXA-17.1	Identifier
RXA-17.2	Text
RXA-17.3	Name of Coding System
RXA-17.4	Alternate Identifier
RXA-17.5	Alternate Text
RXA-17.6	Name of Alternate Coding System
RXA-18	Substance/Treatment Refusal Reason
RXA-18.1	Identifier
RXA-18.2	Text
RXA-18.3	Name of Coding System
RXA-18.4	Alternate Identifier
RXA-18.5	Alternate Text
RXA-18.6	Name of Alternate Coding System
RXA-19	Indication
RXA-19.1	Identifier
RXA-19.2	Text
RXA-19.3	Name of Coding System
RXA-19.4	Alternate Identifier
RXA-19.5	Alternate Text
RXA-19.6	Name of Alternate Coding System
RXA-20	Completion Status	NA
RXA-21	Action Code - RXA
RXA-22	System Entry Date/Time
RXA-22.1	Time
RXA-22.2	Degree of Precision
RXA-23	Administered Drug Strength Volume
RXA-24	Administered Drug Strength Volume Units
RXA-24.1	Identifier
RXA-24.2	Text
RXA-24.3	Name of Coding System
RXA-24.4	Alternate Identifier
RXA-24.5	Alternate Text
RXA-24.6	Name of Alternate Coding System
RXA-24.7	Coding System Version ID
RXA-24.8	Alternate Coding System Version ID
RXA-24.9	Original Text
RXA-25	Administered Barcode Identifier
RXA-25.1	Identifier
RXA-25.2	Text
RXA-25.3	Name of Coding System
RXA-25.4	Alternate Identifier
RXA-25.5	Alternate Text
RXA-25.6	Name of Alternate Coding System
RXA-25.7	Coding System Version ID
RXA-25.8	Alternate Coding System Version ID
RXA-25.9	Original Text
RXA-26	Pharmacy Order Type

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	40
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	14
OBX-5	Observation Value
OBX-5.1	Identifier	152
OBX-5.2	Text	pcv NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	41
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	14
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	42
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	30980-7
OBX-3.2	Text	Date vaccination due
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	14
OBX-5	Observation Value	20150214
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	43
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	30981-5
OBX-3.2	Text	Earliest Date to give
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	14
OBX-5	Observation Value	20150914
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	44
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	30956-7
OBX-3.2	Text	vaccine type
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	15
OBX-5	Observation Value
OBX-5.1	Identifier	88
OBX-5.2	Text	influenza NOS
OBX-5.3	Name of Coding System	CVX
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	45
OBX-2	Value Type	CE
OBX-3	Observation Identifier
OBX-3.1	Identifier	59779-9
OBX-3.2	Text	Immunization Schedule used
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	15
OBX-5	Observation Value
OBX-5.1	Identifier	VXC16
OBX-5.2	Text	ACIP
OBX-5.3	Name of Coding System	CDCPHINVS
OBX-5.4	Alternate Identifier
OBX-5.5	Alternate Text
OBX-5.6	Name of Alternate Coding System
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	46
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	30980-7
OBX-3.2	Text	Date vaccination due
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	15
OBX-5	Observation Value	20150914
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	47
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	59777-3
OBX-3.2	Text	iwehwieofnd
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	15
OBX-5	Observation Value	20151111
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

OBX : Observation/Result

Location	Data Elemenmt	Data	Categrization
OBX-1	Set ID - OBX	48
OBX-2	Value Type	DT
OBX-3	Observation Identifier
OBX-3.1	Identifier	30981-5
OBX-3.2	Text	Earliest Date to give
OBX-3.3	Name of Coding System	LN
OBX-3.4	Alternate Identifier
OBX-3.5	Alternate Text
OBX-3.6	Name of Alternate Coding System
OBX-4	Observation Sub-ID	15
OBX-5	Observation Value	20150914
OBX-6	Units
OBX-6.1	Identifier
OBX-6.2	Text
OBX-6.3	Name of Coding System
OBX-6.4	Alternate Identifier
OBX-6.5	Alternate Text
OBX-6.6	Name of Alternate Coding System
OBX-7	References Range
OBX-8	Abnormal Flags
OBX-9	Probability
OBX-10	Nature of Abnormal Test
OBX-11	Observation Result Status	F
OBX-12	Effective Date of Reference Range Values
OBX-12.1	Time
OBX-12.2	Degree of Precision
OBX-13	User Defined Access Checks
OBX-14	Date/Time of the Observation
OBX-14.1	Time
OBX-14.2	Degree of Precision
OBX-15	Producer's Reference
OBX-15.1	Identifier
OBX-15.2	Text
OBX-15.3	Name of Coding System
OBX-15.4	Alternate Identifier
OBX-15.5	Alternate Text
OBX-15.6	Name of Alternate Coding System
OBX-16	Responsible Observer
OBX-16.1	ID Number
OBX-16.2	Family Name
OBX-16.2.1	Surname
OBX-16.2.2	Own Surname Prefix
OBX-16.2.3	Own Surname
OBX-16.2.4	Surname Prefix From Partner/Spouse
OBX-16.2.5	Surname From Partner/Spouse
OBX-16.3	Given Name
OBX-16.4	Second and Further Given Names or Initials Thereof
OBX-16.5	Suffix (e.g., JR or III)
OBX-16.6	Prefix (e.g., DR)
OBX-16.7	Degree (e.g., MD)
OBX-16.8	Source Table
OBX-16.9	Assigning Authority
OBX-16.9.1	Namespace ID
OBX-16.9.2	Universal ID
OBX-16.9.3	Universal ID Type
OBX-16.10	Name Type Code
OBX-16.11	Identifier Check Digit
OBX-16.12	Check Digit Scheme
OBX-16.13	Identifier Type Code
OBX-16.14	Assigning Facility
OBX-16.14.1	Namespace ID
OBX-16.14.2	Universal ID
OBX-16.14.3	Universal ID Type
OBX-16.15	Name Representation Code
OBX-16.16	Name Context
OBX-16.16.1	Identifier
OBX-16.16.2	Text
OBX-16.16.3	Name of Coding System
OBX-16.16.4	Alternate Identifier
OBX-16.16.5	Alternate Text
OBX-16.16.6	Name of Alternate Coding System
OBX-16.17	Name Validity Range
OBX-16.17.1	Range Start Date/Time
OBX-16.17.2	Range End Date/Time
OBX-16.18	Name Assembly Order
OBX-16.19	Effective Date
OBX-16.19.1	Time
OBX-16.19.2	Degree of Precision
OBX-16.20	Expiration Date
OBX-16.20.1	Time
OBX-16.20.2	Degree of Precision
OBX-16.21	Professional Suffix
OBX-16.22	Assigning Jurisdiction
OBX-16.22.1	Identifier
OBX-16.22.2	Text
OBX-16.22.3	Name of Coding System
OBX-16.22.4	Alternate Identifier
OBX-16.22.5	Alternate Text
OBX-16.22.6	Name of Alternate Coding System
OBX-16.22.7	Coding System Version ID
OBX-16.22.8	Alternate Coding System Version ID
OBX-16.22.9	Original Text
OBX-16.23	Assigning Agency or Department
OBX-16.23.1	Identifier
OBX-16.23.2	Text
OBX-16.23.3	Name of Coding System
OBX-16.23.4	Alternate Identifier
OBX-16.23.5	Alternate Text
OBX-16.23.6	Name of Alternate Coding System
OBX-16.23.7	Coding System Version ID
OBX-16.23.8	Alternate Coding System Version ID
OBX-16.23.9	Original Text
OBX-17	Observation Method
OBX-17.1	Identifier
OBX-17.2	Text
OBX-17.3	Name of Coding System
OBX-17.4	Alternate Identifier
OBX-17.5	Alternate Text
OBX-17.6	Name of Alternate Coding System
OBX-18	Equipment Instance Identifier
OBX-18.1	Entity Identifier
OBX-18.2	Namespace ID
OBX-18.3	Universal ID
OBX-18.4	Universal ID Type
OBX-19	Date/Time of the Analysis
OBX-19.1	Time
OBX-19.2	Degree of Precision
OBX-20	Reserved for harmonization with V2.6
OBX-21	Reserved for harmonization with V2.6
OBX-22	Reserved for harmonization with V2.6
OBX-23	Performing Organization Name
OBX-23.1	Organization Name
OBX-23.2	Organization Name Type Code
OBX-23.3	ID Number
OBX-23.4	Check Digit
OBX-23.5	Check Digit Scheme
OBX-23.6	Assigning Authority
OBX-23.6.1	Namespace ID
OBX-23.6.2	Universal ID
OBX-23.6.3	Universal ID Type
OBX-23.7	Identifier Type Code
OBX-23.8	Assigning Facility
OBX-23.8.1	Namespace ID
OBX-23.8.2	Universal ID
OBX-23.8.3	Universal ID Type
OBX-23.9	Name Representation Code
OBX-23.10	Organization Identifier
OBX-24	Performing Organization Address
OBX-24.1	Street Address
OBX-24.1.1	Street or Mailing Address
OBX-24.1.2	Street Name
OBX-24.1.3	Dwelling Number
OBX-24.2	Other Designation
OBX-24.3	City
OBX-24.4	State or Province
OBX-24.5	Zip or Postal Code
OBX-24.6	Country
OBX-24.7	Address Type
OBX-24.8	Other Geographic Designation
OBX-24.9	County/Parish Code
OBX-24.10	Census Tract
OBX-24.11	Address Representation Code
OBX-24.12	Address Validity Range
OBX-24.12.1	Range Start Date/Time
OBX-24.12.2	Range End Date/Time
OBX-24.13	Effective Date
OBX-24.13.1	Time
OBX-24.13.2	Degree of Precision
OBX-24.14	Expiration Date
OBX-24.14.1	Time
OBX-24.14.2	Degree of Precision
OBX-25	Performing Organization Medical Director
OBX-25.1	ID Number
OBX-25.2	Family Name
OBX-25.2.1	Surname
OBX-25.2.2	Own Surname Prefix
OBX-25.2.3	Own Surname
OBX-25.2.4	Surname Prefix From Partner/Spouse
OBX-25.2.5	Surname From Partner/Spouse
OBX-25.3	Given Name
OBX-25.4	Second and Further Given Names or Initials Thereof
OBX-25.5	Suffix (e.g., JR or III)
OBX-25.6	Prefix (e.g., DR)
OBX-25.7	Degree (e.g., MD)
OBX-25.8	Source Table
OBX-25.9	Assigning Authority
OBX-25.9.1	Namespace ID
OBX-25.9.2	Universal ID
OBX-25.9.3	Universal ID Type
OBX-25.10	Name Type Code
OBX-25.11	Identifier Check Digit
OBX-25.12	Check Digit Scheme
OBX-25.13	Identifier Type Code
OBX-25.14	Assigning Facility
OBX-25.14.1	Namespace ID
OBX-25.14.2	Universal ID
OBX-25.14.3	Universal ID Type
OBX-25.15	Name Representation Code
OBX-25.16	Name Context
OBX-25.16.1	Identifier
OBX-25.16.2	Text
OBX-25.16.3	Name of Coding System
OBX-25.16.4	Alternate Identifier
OBX-25.16.5	Alternate Text
OBX-25.16.6	Name of Alternate Coding System
OBX-25.17	Name Validity Range
OBX-25.17.1	Range Start Date/Time
OBX-25.17.2	Range End Date/Time
OBX-25.18	Name Assembly Order
OBX-25.19	Effective Date
OBX-25.19.1	Time
OBX-25.19.2	Degree of Precision
OBX-25.20	Expiration Date
OBX-25.20.1	Time
OBX-25.20.2	Degree of Precision
OBX-25.21	Professional Suffix
OBX-25.22	Assigning Jurisdiction
OBX-25.22.1	Identifier
OBX-25.22.2	Text
OBX-25.22.3	Name of Coding System
OBX-25.22.4	Alternate Identifier
OBX-25.22.5	Alternate Text
OBX-25.22.6	Name of Alternate Coding System
OBX-25.22.7	Coding System Version ID
OBX-25.22.8	Alternate Coding System Version ID
OBX-25.22.9	Original Text
OBX-25.23	Assigning Agency or Department
OBX-25.23.1	Identifier
OBX-25.23.2	Text
OBX-25.23.3	Name of Coding System
OBX-25.23.4	Alternate Identifier
OBX-25.23.5	Alternate Text
OBX-25.23.6	Name of Alternate Coding System
OBX-25.23.7	Coding System Version ID
OBX-25.23.8	Alternate Coding System Version ID
OBX-25.23.9	Original Text

Juror Document

Evaluated Immunization History and Immunization Forecast
Test Case ID	Q R TC-2
Juror ID
Juror Name
HIT System Tested
Inspection Date/Time
Inspection Settlement	Pass Fail
Reason Failed
Juror Comments

DISPLAY VERIFICATION

This Test Case-specific Juror Document provides a checklist for the Tester to use during certification testing for assessing the EHR technology's ability to display required core data elements from the information received in the Evaluated Immunization History and Immunization Forecast Z42 message. Additional data from the message or from the EHR are permitted to be displayed by the EHR. Grayed-out fields in the Juror Document indicate where no data for the data element indicated were included in the Z42 message for the given Test Case.

The format of this Juror Document is for ease-of-use by the Tester and does not indicate how the EHR display must be designed.

The Evaluated Immunization History and Immunization Forecast data shown in this Juror Document are derived from the Z42 message provided with the given Test Case; equivalent data are permitted to be displayed by the EHR. The column headings are meant to convey the kind of data to be displayed; equivalent labels/column headings are permitted to be displayed by the EHR.

Patient Information
Patient Identifier	Patient Name	DOB	Gender	Tester Comment
123456	Clement S Stanley	02/14/1950	Male
When displayed in the EHR with the Evaluated Immunization History and Immunization Forecast, these patient demographics data may be derived from either the received immunization message or the EHR patient record. When displaying demographics from the patient record, the EHR must be able to demonstrate a linkage between the demographics in the message (primarily the patient ID in PID-3.1) and the patient record used for display to ensure that the message was associated with the appropriate patient.

Evaluated Immunization History and Immunization Forecast

Immunization Schedule Used	Tester Comment
ACIP

Evaluated Immunization History
Vaccine Group	Vaccine Administered	Date Administered	Valid Dose	Validity Reason	Completion Status*	Tester Comment
Hep B NOS	Hep B Peds NOS	04/15/2009	YES		Complete
Hep B NOS	Hep B Peds NOS	05/15/2009	YES		Complete
Hep B NOS	Hep B Peds NOS	12/15/2009	YES		Complete
DTAP NOS	DTP	04/15/1960	YES		Complete
polio NOS	polio NOS	04/15/1960	YES		Complete
polio NOS	polio NOS	06/15/1960	YES		Complete
polio NOS	polio NOS	09/10/1960	YES		Complete
polio NOS	polio NOS	04/15/1961	YES		Complete
pneumococcal ppv23	pneumococcal ppv23	04/15/2013	YES		Complete
Td NOS	Td NOS	04/15/2009	YES		Complete
influenza NOS	influenza NOS	10/15/2009	YES		Complete
influenza NOS	influenza seasonal	10/15/2010	YES		Complete
influenza NOS	seasonal flu	09/01/2011	YES		Complete
* "Completion Status" refers to the status of the dose of vaccine administered on the indicated date and may be interpreted as "Dose Status". A status of "Complete" means that the vaccine dose was "completely administered" as opposed to "partially administered".

Immunization Forecast
Vaccine Group	Due Date	Earliest Date To Give	Latest Date to Give	Series Status	Forecast Reason	Tester Comment
pcv NOS	02/14/2015	09/14/2015	11/11/2015
influenza NOS	09/14/2015	09/14/2015	11/11/2015

2.3. Q R TC-3

Tests ability to send a query and receive a response where no patients are found.

Test Story

Description

No Description

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

2.3.1. Send Query expecting no match

This query should return a response where no matches are found.

Test Story

Description

No Description

Comments

No Comments

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|	Test Case Fixed
MSH-2	Encoding Characters	^~\&	Test Case Fixed
MSH-3	Sending Application
MSH-3.1	Namespace ID	MyEHR
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	DCS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID	MyIIS
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	StatePH
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150531145156-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	QBP
MSH-9.2	Trigger Event	Q11
MSH-9.3	Message Structure	QBP_Q11
MSH-10	Message Control ID	993533469	Content Indifferent
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER	Test Case Fixed
MSH-16	Application Acknowledgment Type	AL	Test Case Fixed
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z44
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	DCS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID	DCS
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code	XX
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier	6439432
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	StatePH
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier

QPD : Query Parameter Definition

Location	Data Elemenmt	Data	Categrization
QPD-1	Message Query Name
QPD-1.1	Identifier	Z44
QPD-1.2	Text	Request Evaluated History and Forecast
QPD-1.3	Name of Coding System	CDCPHINVS
QPD-1.4	Alternate Identifier
QPD-1.5	Alternate Text
QPD-1.6	Name of Alternate Coding System
QPD-2	Query Tag	37374859	Content Indifferent
QPD-3	PatientList
QPD-3.1	ID Number	177993456
QPD-3.2	Check Digit
QPD-3.3	Check Digit Scheme
QPD-3.4	Assigning Authority
QPD-3.4.1	Namespace ID	MYEHR
QPD-3.4.2	Universal ID
QPD-3.4.3	Universal ID Type
QPD-3.5	Identifier Type Code	MR
QPD-3.6	Assigning Facility
QPD-3.6.1	Namespace ID
QPD-3.6.2	Universal ID
QPD-3.6.3	Universal ID Type
QPD-3.7	Effective Date
QPD-3.8	Expiration Date
QPD-3.9	Assigning Jurisdiction
QPD-3.9.1	Identifier
QPD-3.9.2	Text
QPD-3.9.3	Name of Coding System
QPD-3.9.4	Alternate Identifier
QPD-3.9.5	Alternate Text
QPD-3.9.6	Name of Alternate Coding System
QPD-3.9.7	Coding System Version ID
QPD-3.9.8	Alternate Coding System Version ID
QPD-3.9.9	Original Text
QPD-3.10	Assigning Agency or Department
QPD-3.10.1	Identifier
QPD-3.10.2	Text
QPD-3.10.3	Name of Coding System
QPD-3.10.4	Alternate Identifier
QPD-3.10.5	Alternate Text
QPD-3.10.6	Name of Alternate Coding System
QPD-3.10.7	Coding System Version ID
QPD-3.10.8	Alternate Coding System Version ID
QPD-3.10.9	Original Text
QPD-4	PatientName
QPD-4.1	Family Name
QPD-4.1.1	Surname	Standard
QPD-4.1.2	Own Surname Prefix
QPD-4.1.3	Own Surname
QPD-4.1.4	Surname Prefix From Partner/Spouse
QPD-4.1.5	Surname From Partner/Spouse
QPD-4.2	Given Name	Sam
QPD-4.3	Second and Further Given Names or Initials Thereof	S
QPD-4.4	Suffix (e.g., JR or III)
QPD-4.5	Prefix (e.g., DR)
QPD-4.6	Degree (e.g., MD)
QPD-4.7	Name Type Code	L
QPD-4.8	Name Representation Code
QPD-4.9	Name Context
QPD-4.9.1	Identifier
QPD-4.9.2	Text
QPD-4.9.3	Name of Coding System
QPD-4.9.4	Alternate Identifier
QPD-4.9.5	Alternate Text
QPD-4.9.6	Name of Alternate Coding System
QPD-4.10	Name Validity Range
QPD-4.10.1	Range Start Date/Time
QPD-4.10.2	Range End Date/Time
QPD-4.11	Name Assembly Order
QPD-4.12	Effective Date
QPD-4.12.1	Time
QPD-4.12.2	Degree of Precision
QPD-4.13	Expiration Date
QPD-4.13.1	Time
QPD-4.13.2	Degree of Precision
QPD-4.14	Professional Suffix
QPD-5	PatientMotherMaidenName
QPD-5.1	Family Name
QPD-5.1.1	Surname
QPD-5.1.2	Own Surname Prefix
QPD-5.1.3	Own Surname
QPD-5.1.4	Surname Prefix From Partner/Spouse
QPD-5.1.5	Surname From Partner/Spouse
QPD-5.2	Given Name
QPD-5.3	Second and Further Given Names or Initials Thereof
QPD-5.4	Suffix (e.g., JR or III)
QPD-5.5	Prefix (e.g., DR)
QPD-5.6	Degree (e.g., MD)
QPD-5.7	Name Type Code
QPD-5.8	Name Representation Code
QPD-5.9	Name Context
QPD-5.9.1	Identifier
QPD-5.9.2	Text
QPD-5.9.3	Name of Coding System
QPD-5.9.4	Alternate Identifier
QPD-5.9.5	Alternate Text
QPD-5.9.6	Name of Alternate Coding System
QPD-5.10	Name Validity Range
QPD-5.10.1	Range Start Date/Time
QPD-5.10.2	Range End Date/Time
QPD-5.11	Name Assembly Order
QPD-5.12	Effective Date
QPD-5.12.1	Time
QPD-5.12.2	Degree of Precision
QPD-5.13	Expiration Date
QPD-5.13.1	Time
QPD-5.13.2	Degree of Precision
QPD-5.14	Professional Suffix
QPD-6	PatientDateOfBirth
QPD-6.1	Time	19800214
QPD-6.2	Degree of Precision
QPD-7	Patient Sex	M	Test Case Fixed
QPD-8	Patient Address
QPD-8.1	Street Address
QPD-8.1.1	Street or Mailing Address	10 East Main St
QPD-8.1.2	Street Name
QPD-8.1.3	Dwelling Number
QPD-8.2	Other Designation
QPD-8.3	City	Pretty Valley
QPD-8.4	State or Province	MI
QPD-8.5	Zip or Postal Code
QPD-8.6	Country
QPD-8.7	Address Type	L
QPD-8.8	Other Geographic Designation
QPD-8.9	County/Parish Code
QPD-8.10	Census Tract
QPD-8.11	Address Representation Code
QPD-8.12	Address Validity Range
QPD-8.12.1	Range Start Date/Time
QPD-8.12.2	Range End Date/Time
QPD-8.13	Effective Date
QPD-8.13.1	Time
QPD-8.13.2	Degree of Precision
QPD-8.14	Expiration Date
QPD-8.14.1	Time
QPD-8.14.2	Degree of Precision
QPD-9	Phone
QPD-9.1	Telephone Number
QPD-9.2	Telecommunication Use Code	PRN
QPD-9.3	Telecommunication Equipment Type	PH
QPD-9.4	Email Address
QPD-9.5	Country Code
QPD-9.6	Area/City Code	734
QPD-9.7	Local Number	5556712
QPD-9.8	Extension
QPD-9.9	Any Text
QPD-9.10	Extension Prefix
QPD-9.11	Speed Dial Code
QPD-9.12	Unformatted Telephone number
QPD-10	Multiple birth indicator
QPD-11	Birth order
QPD-12	Client last updated date
QPD-12.1	Time
QPD-12.2	Degree of Precision
QPD-13	Client last updated facility
QPD-13.1	Namespace ID
QPD-13.2	Universal ID
QPD-13.3	Universal ID Type

RCP : Response Control Parameter

Location	Data Elemenmt	Data	Categrization
RCP-1	Query Priority	I
RCP-2	Quantity Limited Request
RCP-2.1	Quantity	1
RCP-2.2	Units
RCP-2.2.1	Identifier	RD
RCP-2.2.2	Text	Records
RCP-2.2.3	Name of Coding System	HL70126
RCP-2.2.4	Alternate Identifier
RCP-2.2.5	Alternate Text
RCP-2.2.6	Name of Alternate Coding System
RCP-3	Response Modality
RCP-3.1	Identifier
RCP-3.2	Text
RCP-3.3	Name of Coding System
RCP-3.4	Alternate Identifier
RCP-3.5	Alternate Text
RCP-3.6	Name of Alternate Coding System
RCP-4	Execution and Delivery Time
RCP-4.1	Time
RCP-4.2	Degree of Precision
RCP-5	Modify Indicator
RCP-6	Sort-by Field
RCP-6.1	Sort-by Field
RCP-6.2	Sequencing
RCP-7	Segment group inclusion

Test Data Specification

Patient Information

Element	Data
Patient Name	Sam S Standard
Date/Time of Birth	02/14/1980
Sex	M
Patient Address	10 East Main St Pretty Valley MI
Patient Phone	(734)555-6712

2.3.2. Response where no matches were found

Response with no matches found

Test Story

Description

No Description

Comments

No Comments

PreCondition

query finds no matches

PostCondition

Clinician is alerted to fact of no matches.

Test Objectives

No Test Objectives

Evaluation Criteria

Clinician is notified of no match.

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID	MyIIS
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	StatePH
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID	MYEHR
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	DCS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20151031145233-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	RSP
MSH-9.2	Trigger Event	K11
MSH-9.3	Message Structure	RSP_K11
MSH-10	Message Control ID	3533469
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z33
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	DCS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID	DCS
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code	XX
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier	6439432
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	StatePH
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AA
MSA-2	Message Control ID	993533469
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

QAK : Query Acknowledgment

Location	Data Elemenmt	Data	Categrization
QAK-1	Query Tag	37374859
QAK-2	Query Response Status	NF
QAK-3	Message Query Name
QAK-3.1	Identifier	Z44
QAK-3.2	Text	request evaluated Immunization history
QAK-3.3	Name of Coding System	CDCPHINVS
QAK-3.4	Alternate Identifier
QAK-3.5	Alternate Text
QAK-3.6	Name of Alternate Coding System
QAK-4	Hit Count
QAK-5	This payload
QAK-6	Hits remaining

QPD : Query Parameter Definition

Location	Data Elemenmt	Data	Categrization
QPD-1	Message Query Name
QPD-1.1	Identifier	Z44
QPD-1.2	Text	Request Evaluated History and Forecast
QPD-1.3	Name of Coding System	CDCPHINVS
QPD-1.4	Alternate Identifier
QPD-1.5	Alternate Text
QPD-1.6	Name of Alternate Coding System
QPD-2	Query Tag	37374859
QPD-3	PatientList
QPD-3.1	ID Number	177993456
QPD-3.2	Check Digit
QPD-3.3	Check Digit Scheme
QPD-3.4	Assigning Authority
QPD-3.4.1	Namespace ID	MYEHR
QPD-3.4.2	Universal ID
QPD-3.4.3	Universal ID Type
QPD-3.5	Identifier Type Code	MR
QPD-3.6	Assigning Facility
QPD-3.6.1	Namespace ID
QPD-3.6.2	Universal ID
QPD-3.6.3	Universal ID Type
QPD-3.7	Effective Date
QPD-3.8	Expiration Date
QPD-3.9	Assigning Jurisdiction
QPD-3.9.1	Identifier
QPD-3.9.2	Text
QPD-3.9.3	Name of Coding System
QPD-3.9.4	Alternate Identifier
QPD-3.9.5	Alternate Text
QPD-3.9.6	Name of Alternate Coding System
QPD-3.9.7	Coding System Version ID
QPD-3.9.8	Alternate Coding System Version ID
QPD-3.9.9	Original Text
QPD-3.10	Assigning Agency or Department
QPD-3.10.1	Identifier
QPD-3.10.2	Text
QPD-3.10.3	Name of Coding System
QPD-3.10.4	Alternate Identifier
QPD-3.10.5	Alternate Text
QPD-3.10.6	Name of Alternate Coding System
QPD-3.10.7	Coding System Version ID
QPD-3.10.8	Alternate Coding System Version ID
QPD-3.10.9	Original Text
QPD-4	PatientName
QPD-4.1	Family Name
QPD-4.1.1	Surname	Standard
QPD-4.1.2	Own Surname Prefix
QPD-4.1.3	Own Surname
QPD-4.1.4	Surname Prefix From Partner/Spouse
QPD-4.1.5	Surname From Partner/Spouse
QPD-4.2	Given Name	Sam
QPD-4.3	Second and Further Given Names or Initials Thereof	S
QPD-4.4	Suffix (e.g., JR or III)
QPD-4.5	Prefix (e.g., DR)
QPD-4.6	Degree (e.g., MD)
QPD-4.7	Name Type Code	L
QPD-4.8	Name Representation Code
QPD-4.9	Name Context
QPD-4.9.1	Identifier
QPD-4.9.2	Text
QPD-4.9.3	Name of Coding System
QPD-4.9.4	Alternate Identifier
QPD-4.9.5	Alternate Text
QPD-4.9.6	Name of Alternate Coding System
QPD-4.10	Name Validity Range
QPD-4.10.1	Range Start Date/Time
QPD-4.10.2	Range End Date/Time
QPD-4.11	Name Assembly Order
QPD-4.12	Effective Date
QPD-4.12.1	Time
QPD-4.12.2	Degree of Precision
QPD-4.13	Expiration Date
QPD-4.13.1	Time
QPD-4.13.2	Degree of Precision
QPD-4.14	Professional Suffix
QPD-5	PatientMotherMaidenName
QPD-5.1	Family Name
QPD-5.1.1	Surname
QPD-5.1.2	Own Surname Prefix
QPD-5.1.3	Own Surname
QPD-5.1.4	Surname Prefix From Partner/Spouse
QPD-5.1.5	Surname From Partner/Spouse
QPD-5.2	Given Name
QPD-5.3	Second and Further Given Names or Initials Thereof
QPD-5.4	Suffix (e.g., JR or III)
QPD-5.5	Prefix (e.g., DR)
QPD-5.6	Degree (e.g., MD)
QPD-5.7	Name Type Code
QPD-5.8	Name Representation Code
QPD-5.9	Name Context
QPD-5.9.1	Identifier
QPD-5.9.2	Text
QPD-5.9.3	Name of Coding System
QPD-5.9.4	Alternate Identifier
QPD-5.9.5	Alternate Text
QPD-5.9.6	Name of Alternate Coding System
QPD-5.10	Name Validity Range
QPD-5.10.1	Range Start Date/Time
QPD-5.10.2	Range End Date/Time
QPD-5.11	Name Assembly Order
QPD-5.12	Effective Date
QPD-5.12.1	Time
QPD-5.12.2	Degree of Precision
QPD-5.13	Expiration Date
QPD-5.13.1	Time
QPD-5.13.2	Degree of Precision
QPD-5.14	Professional Suffix
QPD-6	PatientDateOfBirth
QPD-6.1	Time	19800214
QPD-6.2	Degree of Precision
QPD-7	Patient Sex	M
QPD-8	Patient Address
QPD-8.1	Street Address
QPD-8.1.1	Street or Mailing Address	10 East Main St
QPD-8.1.2	Street Name
QPD-8.1.3	Dwelling Number
QPD-8.2	Other Designation
QPD-8.3	City	Pretty Valley
QPD-8.4	State or Province	MI
QPD-8.5	Zip or Postal Code
QPD-8.6	Country
QPD-8.7	Address Type	L
QPD-8.8	Other Geographic Designation
QPD-8.9	County/Parish Code
QPD-8.10	Census Tract
QPD-8.11	Address Representation Code
QPD-8.12	Address Validity Range
QPD-8.12.1	Range Start Date/Time
QPD-8.12.2	Range End Date/Time
QPD-8.13	Effective Date
QPD-8.13.1	Time
QPD-8.13.2	Degree of Precision
QPD-8.14	Expiration Date
QPD-8.14.1	Time
QPD-8.14.2	Degree of Precision
QPD-9	Phone
QPD-9.1	Telephone Number
QPD-9.2	Telecommunication Use Code	PRN
QPD-9.3	Telecommunication Equipment Type	PH
QPD-9.4	Email Address
QPD-9.5	Country Code
QPD-9.6	Area/City Code	734
QPD-9.7	Local Number	5556712
QPD-9.8	Extension
QPD-9.9	Any Text
QPD-9.10	Extension Prefix
QPD-9.11	Speed Dial Code
QPD-9.12	Unformatted Telephone number
QPD-10	Multiple birth indicator
QPD-11	Birth order
QPD-12	Client last updated date
QPD-12.1	Time
QPD-12.2	Degree of Precision
QPD-13	Client last updated facility
QPD-13.1	Namespace ID
QPD-13.2	Universal ID
QPD-13.3	Universal ID Type

Juror Document

Evaluated Immunization History and Immunization Forecast
Test Case ID	Q R TC-3
Juror ID
Juror Name
HIT System Tested
Inspection Date/Time
Inspection Settlement	Pass Fail
Reason Failed
Juror Comments

DISPLAY VERIFICATION

This Test Case-specific Juror Document provides a checklist for the Tester to use during certification testing for assessing the EHR technology's ability to display information notifying the HIT user that a Return Acknowledgement with No Person Records Z33 message was received (in response to an Evaluated Immunization History and Immunization Forecast Z44 query message). Additional data from the message or from the EHR are permitted to be displayed by the EHR.

The format of this Juror Document is for ease-of-use by the Tester and does not indicate how the EHR display must be designed.

The data shown in this Juror Document are derived from the test data provided with the given Test Case; equivalent data are permitted to be displayed by the EHR. The column headings are meant to convey the kind of data to be displayed; equivalent labels/column headings are permitted to be displayed by the EHR.

Patient Information
Patient Identifier	Patient Name	DOB	Gender	Tester Comment
177993456	Sam S Standard	02/14/1980	Male
When displayed in the EHR with the notification indicating that a Return Acknowledgement with No Person Records Z33 message was received, these patient demographics data are derived from the EHR patient record.

Evaluated Immunization History and Immunization Forecast
The EHR shall display a notification indicating that the query for an Evaluated Immunization History and Immunization Forecast is complete but no matching records were found for the person in the query.

2.4. Q R TC-4

Query finds too many matches

Test Story

Description

This test evaluates the ability of the EHR to gracefully accept a response where too many matches are found, based on the parameters sent in the query. Note that this query only expects an evaluated history and forecast when an exact match is found.

Comments

The intiating clinician should be alerted to the failure to get an exact match.

PreCondition

No PreCondition

PostCondition

No PostCondition

Test Objectives

The intiating clinician should be alerted to the failure to get an exact match.

Evaluation Criteria

The EHR receives the response and alerts the clinician that too many matches were found.

Notes to Testers

No Note

2.4.1. Query that finds too many matches

Query will find too many matches

Test Story

Description

This test sends a query that will find too many matches.

Comments

The sending system will need to accept a response indicating that too many matches were found.

PreCondition

More than one person in the IIS matching the parameters in the query exists.

PostCondition

Response indicates that there are more than one match (too many) and the clinician is informed.

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|	Test Case Fixed
MSH-2	Encoding Characters	^~\&	Test Case Fixed
MSH-3	Sending Application
MSH-3.1	Namespace ID	MyEHR
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	DCS
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID	MyIIS
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	StatePH
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20150531145156-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	QBP
MSH-9.2	Trigger Event	Q11
MSH-9.3	Message Structure	QBP_Q11
MSH-10	Message Control ID	113533469	Content Indifferent
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	ER	Test Case Fixed
MSH-16	Application Acknowledgment Type	AL	Test Case Fixed
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z44
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	DCS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID	DCS
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code	XX
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier	6439432
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	StatePH
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier

QPD : Query Parameter Definition

Location	Data Elemenmt	Data	Categrization
QPD-1	Message Query Name
QPD-1.1	Identifier	Z44
QPD-1.2	Text	Request Evaluated History and Forecast
QPD-1.3	Name of Coding System	CDCPHINVS
QPD-1.4	Alternate Identifier
QPD-1.5	Alternate Text
QPD-1.6	Name of Alternate Coding System
QPD-2	Query Tag	3137374859	Content Indifferent
QPD-3	PatientList
QPD-3.1	ID Number	177993456
QPD-3.2	Check Digit
QPD-3.3	Check Digit Scheme
QPD-3.4	Assigning Authority
QPD-3.4.1	Namespace ID	MYEHR
QPD-3.4.2	Universal ID
QPD-3.4.3	Universal ID Type
QPD-3.5	Identifier Type Code	MR
QPD-3.6	Assigning Facility
QPD-3.6.1	Namespace ID
QPD-3.6.2	Universal ID
QPD-3.6.3	Universal ID Type
QPD-3.7	Effective Date
QPD-3.8	Expiration Date
QPD-3.9	Assigning Jurisdiction
QPD-3.9.1	Identifier
QPD-3.9.2	Text
QPD-3.9.3	Name of Coding System
QPD-3.9.4	Alternate Identifier
QPD-3.9.5	Alternate Text
QPD-3.9.6	Name of Alternate Coding System
QPD-3.9.7	Coding System Version ID
QPD-3.9.8	Alternate Coding System Version ID
QPD-3.9.9	Original Text
QPD-3.10	Assigning Agency or Department
QPD-3.10.1	Identifier
QPD-3.10.2	Text
QPD-3.10.3	Name of Coding System
QPD-3.10.4	Alternate Identifier
QPD-3.10.5	Alternate Text
QPD-3.10.6	Name of Alternate Coding System
QPD-3.10.7	Coding System Version ID
QPD-3.10.8	Alternate Coding System Version ID
QPD-3.10.9	Original Text
QPD-4	PatientName
QPD-4.1	Family Name
QPD-4.1.1	Surname	Johnson
QPD-4.1.2	Own Surname Prefix
QPD-4.1.3	Own Surname
QPD-4.1.4	Surname Prefix From Partner/Spouse
QPD-4.1.5	Surname From Partner/Spouse
QPD-4.2	Given Name	Sam
QPD-4.3	Second and Further Given Names or Initials Thereof	S
QPD-4.4	Suffix (e.g., JR or III)
QPD-4.5	Prefix (e.g., DR)
QPD-4.6	Degree (e.g., MD)
QPD-4.7	Name Type Code	L
QPD-4.8	Name Representation Code
QPD-4.9	Name Context
QPD-4.9.1	Identifier
QPD-4.9.2	Text
QPD-4.9.3	Name of Coding System
QPD-4.9.4	Alternate Identifier
QPD-4.9.5	Alternate Text
QPD-4.9.6	Name of Alternate Coding System
QPD-4.10	Name Validity Range
QPD-4.10.1	Range Start Date/Time
QPD-4.10.2	Range End Date/Time
QPD-4.11	Name Assembly Order
QPD-4.12	Effective Date
QPD-4.12.1	Time
QPD-4.12.2	Degree of Precision
QPD-4.13	Expiration Date
QPD-4.13.1	Time
QPD-4.13.2	Degree of Precision
QPD-4.14	Professional Suffix
QPD-5	PatientMotherMaidenName
QPD-5.1	Family Name
QPD-5.1.1	Surname
QPD-5.1.2	Own Surname Prefix
QPD-5.1.3	Own Surname
QPD-5.1.4	Surname Prefix From Partner/Spouse
QPD-5.1.5	Surname From Partner/Spouse
QPD-5.2	Given Name
QPD-5.3	Second and Further Given Names or Initials Thereof
QPD-5.4	Suffix (e.g., JR or III)
QPD-5.5	Prefix (e.g., DR)
QPD-5.6	Degree (e.g., MD)
QPD-5.7	Name Type Code
QPD-5.8	Name Representation Code
QPD-5.9	Name Context
QPD-5.9.1	Identifier
QPD-5.9.2	Text
QPD-5.9.3	Name of Coding System
QPD-5.9.4	Alternate Identifier
QPD-5.9.5	Alternate Text
QPD-5.9.6	Name of Alternate Coding System
QPD-5.10	Name Validity Range
QPD-5.10.1	Range Start Date/Time
QPD-5.10.2	Range End Date/Time
QPD-5.11	Name Assembly Order
QPD-5.12	Effective Date
QPD-5.12.1	Time
QPD-5.12.2	Degree of Precision
QPD-5.13	Expiration Date
QPD-5.13.1	Time
QPD-5.13.2	Degree of Precision
QPD-5.14	Professional Suffix
QPD-6	PatientDateOfBirth
QPD-6.1	Time	19800214
QPD-6.2	Degree of Precision
QPD-7	Patient Sex	M	Test Case Fixed
QPD-8	Patient Address
QPD-8.1	Street Address
QPD-8.1.1	Street or Mailing Address	10 East Main St
QPD-8.1.2	Street Name
QPD-8.1.3	Dwelling Number
QPD-8.2	Other Designation
QPD-8.3	City	Pretty Valley
QPD-8.4	State or Province	MI
QPD-8.5	Zip or Postal Code
QPD-8.6	Country
QPD-8.7	Address Type	L
QPD-8.8	Other Geographic Designation
QPD-8.9	County/Parish Code
QPD-8.10	Census Tract
QPD-8.11	Address Representation Code
QPD-8.12	Address Validity Range
QPD-8.12.1	Range Start Date/Time
QPD-8.12.2	Range End Date/Time
QPD-8.13	Effective Date
QPD-8.13.1	Time
QPD-8.13.2	Degree of Precision
QPD-8.14	Expiration Date
QPD-8.14.1	Time
QPD-8.14.2	Degree of Precision
QPD-9	Phone
QPD-9.1	Telephone Number
QPD-9.2	Telecommunication Use Code	PRN
QPD-9.3	Telecommunication Equipment Type	PH
QPD-9.4	Email Address
QPD-9.5	Country Code
QPD-9.6	Area/City Code	734
QPD-9.7	Local Number	5556712
QPD-9.8	Extension
QPD-9.9	Any Text
QPD-9.10	Extension Prefix
QPD-9.11	Speed Dial Code
QPD-9.12	Unformatted Telephone number
QPD-10	Multiple birth indicator
QPD-11	Birth order
QPD-12	Client last updated date
QPD-12.1	Time
QPD-12.2	Degree of Precision
QPD-13	Client last updated facility
QPD-13.1	Namespace ID
QPD-13.2	Universal ID
QPD-13.3	Universal ID Type

Juror Document

Evaluated Immunization History and Immunization Forecast
Test Case ID	Q R TC-4
Juror ID
Juror Name
HIT System Tested
Inspection Date/Time
Inspection Settlement	Pass Fail
Reason Failed
Juror Comments

2.4.2. Response with too many matches

No Description

Test Story

Description

No Description

Comments

No Comments

PreCondition

No PreCondition

PostCondition

Clinician is alerted to multiple match condition.

Test Objectives

No Test Objectives

Evaluation Criteria

No evaluation criteria

Notes to Testers

No Note

Message Contents

MSH : Message Header

Location	Data Elemenmt	Data	Categrization
MSH-1	Field Separator	|
MSH-2	Encoding Characters	^~\&
MSH-3	Sending Application
MSH-3.1	Namespace ID	MyIIS
MSH-3.2	Universal ID
MSH-3.3	Universal ID Type
MSH-4	Sending Facility
MSH-4.1	Namespace ID	StatePH
MSH-4.2	Universal ID
MSH-4.3	Universal ID Type
MSH-5	Receiving Application
MSH-5.1	Namespace ID	MYEHR
MSH-5.2	Universal ID
MSH-5.3	Universal ID Type
MSH-6	Receiving Facility
MSH-6.1	Namespace ID	DCS
MSH-6.2	Universal ID
MSH-6.3	Universal ID Type
MSH-7	Date/Time Of Message
MSH-7.1	Time	20151031145233-0500
MSH-7.2	Degree of Precision
MSH-8	Security
MSH-9	Message Type
MSH-9.1	Message Code	RSP
MSH-9.2	Trigger Event	K11
MSH-9.3	Message Structure	RSP_K11
MSH-10	Message Control ID	3533469
MSH-11	Processing ID
MSH-11.1	Processing ID	P
MSH-11.2	Processing Mode
MSH-12	Version ID
MSH-12.1	Version ID	2.5.1
MSH-12.2	Internationalization Code
MSH-12.2.1	Identifier
MSH-12.2.2	Text
MSH-12.2.3	Name of Coding System
MSH-12.2.4	Alternate Identifier
MSH-12.2.5	Alternate Text
MSH-12.2.6	Name of Alternate Coding System
MSH-12.3	International Version ID
MSH-12.3.1	Identifier
MSH-12.3.2	Text
MSH-12.3.3	Name of Coding System
MSH-12.3.4	Alternate Identifier
MSH-12.3.5	Alternate Text
MSH-12.3.6	Name of Alternate Coding System
MSH-13	Sequence Number
MSH-14	Continuation Pointer
MSH-15	Accept Acknowledgment Type	NE
MSH-16	Application Acknowledgment Type	NE
MSH-17	Country Code
MSH-18	Character Set
MSH-19	Principal Language Of Message
MSH-19.1	Identifier
MSH-19.2	Text
MSH-19.3	Name of Coding System
MSH-19.4	Alternate Identifier
MSH-19.5	Alternate Text
MSH-19.6	Name of Alternate Coding System
MSH-20	Alternate Character Set Handling Scheme
MSH-21	Message Profile Identifier
MSH-21.1	Entity Identifier	Z33
MSH-21.2	Namespace ID	CDCPHINVS
MSH-21.3	Universal ID
MSH-21.4	Universal ID Type
MSH-22	Sending Responsible Organization
MSH-22.1	Organization Name	DCS
MSH-22.2	Organization Name Type Code
MSH-22.3	ID Number
MSH-22.4	Check Digit
MSH-22.5	Check Digit Scheme
MSH-22.6	Assigning Authority
MSH-22.6.1	Namespace ID	DCS
MSH-22.6.2	Universal ID
MSH-22.6.3	Universal ID Type
MSH-22.7	Identifier Type Code	XX
MSH-22.8	Assigning Facility
MSH-22.8.1	Namespace ID
MSH-22.8.2	Universal ID
MSH-22.8.3	Universal ID Type
MSH-22.9	Name Representation Code
MSH-22.10	Organization Identifier	6439432
MSH-23	Receiving Responsible Organization
MSH-23.1	Organization Name	StatePH
MSH-23.2	Organization Name Type Code
MSH-23.3	ID Number
MSH-23.4	Check Digit
MSH-23.5	Check Digit Scheme
MSH-23.6	Assigning Authority
MSH-23.6.1	Namespace ID
MSH-23.6.2	Universal ID
MSH-23.6.3	Universal ID Type
MSH-23.7	Identifier Type Code
MSH-23.8	Assigning Facility
MSH-23.8.1	Namespace ID
MSH-23.8.2	Universal ID
MSH-23.8.3	Universal ID Type
MSH-23.9	Name Representation Code
MSH-23.10	Organization Identifier

MSA : Message Acknowledgment

Location	Data Elemenmt	Data	Categrization
MSA-1	Acknowledgment Code	AA
MSA-2	Message Control ID	113533469
MSA-3	Text Message
MSA-4	Expected Sequence Number
MSA-5	Delayed Acknowledgment Type
MSA-6	Error Condition
MSA-6.1	Identifier
MSA-6.2	Text
MSA-6.3	Name of Coding System
MSA-6.4	Alternate Identifier
MSA-6.5	Alternate Text
MSA-6.6	Name of Alternate Coding System

QAK : Query Acknowledgment

Location	Data Elemenmt	Data	Categrization
QAK-1	Query Tag	3137374859
QAK-2	Query Response Status	TM
QAK-3	Message Query Name
QAK-3.1	Identifier	Z44
QAK-3.2	Text	request evaluated Immunization history
QAK-3.3	Name of Coding System	CDCPHINVS
QAK-3.4	Alternate Identifier
QAK-3.5	Alternate Text
QAK-3.6	Name of Alternate Coding System
QAK-4	Hit Count
QAK-5	This payload
QAK-6	Hits remaining

QPD : Query Parameter Definition

Location	Data Elemenmt	Data	Categrization
QPD-1	Message Query Name
QPD-1.1	Identifier	Z44
QPD-1.2	Text	Request Evaluated History and Forecast
QPD-1.3	Name of Coding System	CDCPHINVS
QPD-1.4	Alternate Identifier
QPD-1.5	Alternate Text
QPD-1.6	Name of Alternate Coding System
QPD-2	Query Tag	3137374859
QPD-3	PatientList
QPD-3.1	ID Number	177993456
QPD-3.2	Check Digit
QPD-3.3	Check Digit Scheme
QPD-3.4	Assigning Authority
QPD-3.4.1	Namespace ID	MYEHR
QPD-3.4.2	Universal ID
QPD-3.4.3	Universal ID Type
QPD-3.5	Identifier Type Code	MR
QPD-3.6	Assigning Facility
QPD-3.6.1	Namespace ID
QPD-3.6.2	Universal ID
QPD-3.6.3	Universal ID Type
QPD-3.7	Effective Date
QPD-3.8	Expiration Date
QPD-3.9	Assigning Jurisdiction
QPD-3.9.1	Identifier
QPD-3.9.2	Text
QPD-3.9.3	Name of Coding System
QPD-3.9.4	Alternate Identifier
QPD-3.9.5	Alternate Text
QPD-3.9.6	Name of Alternate Coding System
QPD-3.9.7	Coding System Version ID
QPD-3.9.8	Alternate Coding System Version ID
QPD-3.9.9	Original Text
QPD-3.10	Assigning Agency or Department
QPD-3.10.1	Identifier
QPD-3.10.2	Text
QPD-3.10.3	Name of Coding System
QPD-3.10.4	Alternate Identifier
QPD-3.10.5	Alternate Text
QPD-3.10.6	Name of Alternate Coding System
QPD-3.10.7	Coding System Version ID
QPD-3.10.8	Alternate Coding System Version ID
QPD-3.10.9	Original Text
QPD-4	PatientName
QPD-4.1	Family Name
QPD-4.1.1	Surname	Johnson
QPD-4.1.2	Own Surname Prefix
QPD-4.1.3	Own Surname
QPD-4.1.4	Surname Prefix From Partner/Spouse
QPD-4.1.5	Surname From Partner/Spouse
QPD-4.2	Given Name	Sam
QPD-4.3	Second and Further Given Names or Initials Thereof	S
QPD-4.4	Suffix (e.g., JR or III)
QPD-4.5	Prefix (e.g., DR)
QPD-4.6	Degree (e.g., MD)
QPD-4.7	Name Type Code	L
QPD-4.8	Name Representation Code
QPD-4.9	Name Context
QPD-4.9.1	Identifier
QPD-4.9.2	Text
QPD-4.9.3	Name of Coding System
QPD-4.9.4	Alternate Identifier
QPD-4.9.5	Alternate Text
QPD-4.9.6	Name of Alternate Coding System
QPD-4.10	Name Validity Range
QPD-4.10.1	Range Start Date/Time
QPD-4.10.2	Range End Date/Time
QPD-4.11	Name Assembly Order
QPD-4.12	Effective Date
QPD-4.12.1	Time
QPD-4.12.2	Degree of Precision
QPD-4.13	Expiration Date
QPD-4.13.1	Time
QPD-4.13.2	Degree of Precision
QPD-4.14	Professional Suffix
QPD-5	PatientMotherMaidenName
QPD-5.1	Family Name
QPD-5.1.1	Surname
QPD-5.1.2	Own Surname Prefix
QPD-5.1.3	Own Surname
QPD-5.1.4	Surname Prefix From Partner/Spouse
QPD-5.1.5	Surname From Partner/Spouse
QPD-5.2	Given Name
QPD-5.3	Second and Further Given Names or Initials Thereof
QPD-5.4	Suffix (e.g., JR or III)
QPD-5.5	Prefix (e.g., DR)
QPD-5.6	Degree (e.g., MD)
QPD-5.7	Name Type Code
QPD-5.8	Name Representation Code
QPD-5.9	Name Context
QPD-5.9.1	Identifier
QPD-5.9.2	Text
QPD-5.9.3	Name of Coding System
QPD-5.9.4	Alternate Identifier
QPD-5.9.5	Alternate Text
QPD-5.9.6	Name of Alternate Coding System
QPD-5.10	Name Validity Range
QPD-5.10.1	Range Start Date/Time
QPD-5.10.2	Range End Date/Time
QPD-5.11	Name Assembly Order
QPD-5.12	Effective Date
QPD-5.12.1	Time
QPD-5.12.2	Degree of Precision
QPD-5.13	Expiration Date
QPD-5.13.1	Time
QPD-5.13.2	Degree of Precision
QPD-5.14	Professional Suffix
QPD-6	PatientDateOfBirth
QPD-6.1	Time	19800214
QPD-6.2	Degree of Precision
QPD-7	Patient Sex	M
QPD-8	Patient Address
QPD-8.1	Street Address
QPD-8.1.1	Street or Mailing Address	10 East Main St
QPD-8.1.2	Street Name
QPD-8.1.3	Dwelling Number
QPD-8.2	Other Designation
QPD-8.3	City	Pretty Valley
QPD-8.4	State or Province	MI
QPD-8.5	Zip or Postal Code
QPD-8.6	Country
QPD-8.7	Address Type	L
QPD-8.8	Other Geographic Designation
QPD-8.9	County/Parish Code
QPD-8.10	Census Tract
QPD-8.11	Address Representation Code
QPD-8.12	Address Validity Range
QPD-8.12.1	Range Start Date/Time
QPD-8.12.2	Range End Date/Time
QPD-8.13	Effective Date
QPD-8.13.1	Time
QPD-8.13.2	Degree of Precision
QPD-8.14	Expiration Date
QPD-8.14.1	Time
QPD-8.14.2	Degree of Precision
QPD-9	Phone
QPD-9.1	Telephone Number
QPD-9.2	Telecommunication Use Code	PRN
QPD-9.3	Telecommunication Equipment Type	PH
QPD-9.4	Email Address
QPD-9.5	Country Code
QPD-9.6	Area/City Code	734
QPD-9.7	Local Number	5556712
QPD-9.8	Extension
QPD-9.9	Any Text
QPD-9.10	Extension Prefix
QPD-9.11	Speed Dial Code
QPD-9.12	Unformatted Telephone number
QPD-10	Multiple birth indicator
QPD-11	Birth order
QPD-12	Client last updated date
QPD-12.1	Time
QPD-12.2	Degree of Precision
QPD-13	Client last updated facility
QPD-13.1	Namespace ID
QPD-13.2	Universal ID
QPD-13.3	Universal ID Type

Juror Document

Evaluated Immunization History and Immunization Forecast
Test Case ID	Q R TC-4
Juror ID
Juror Name
HIT System Tested
Inspection Date/Time
Inspection Settlement	Pass Fail
Reason Failed
Juror Comments

DISPLAY VERIFICATION

This Test Case-specific Juror Document provides a checklist for the Tester to use during certification testing for assessing the EHR technology's ability to display information notifying the HIT user that a Return Acknowledgement with No Person Records Z33 message was received (in response to an Evaluated Immunization History and Immunization Forecast Z44 query message). Additional data from the message or from the EHR are permitted to be displayed by the EHR.

The format of this Juror Document is for ease-of-use by the Tester and does not indicate how the EHR display must be designed.

The data shown in this Juror Document are derived from the test data provided with the given Test Case; equivalent data are permitted to be displayed by the EHR. The column headings are meant to convey the kind of data to be displayed; equivalent labels/column headings are permitted to be displayed by the EHR.

Patient Information
Patient Identifier	Patient Name	DOB	Gender	Tester Comment
177993456	Sam S Johnson	02/14/1980	Male
When displayed in the EHR with the notification indicating that a Return Acknowledgement with No Person Records Z33 message was received, these patient demographics data are derived from the EHR patient record.

Evaluated Immunization History and Immunization Forecast
The EHR shall display a notification indicating that the query for an Evaluated Immunization History and Immunization Forecast is complete but too many matching records were found for the person in the query.